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..� <br /> � <br /> � <br /> t . <br /> , . ""'"� � <br /> r � <br /> �' ��� .w.c..:.�� � <br /> d � <br /> ��� <br /> '9�� <br /> ��� APPLICATIv�V FOR ELEC"tRICAL �cRMIT <br /> Q�-1�� <br /> ZN <br /> �M evere#t � <br /> �H BUILDING DEPARTMENT <br /> g� ?59•8810 <br /> �� <br /> �u ri Ge l\a'1 �/�� z y sr - <br /> � . � ` � D t`]C'r ve vrrv�/U C(�6Z(il (ol�tf <br /> �w��� e d re5s ty p hone <br /> V C N <br /> a�a��— a d ress --� CT Y— P °^° <br /> � � <br /> ���, e <br /> E�r ca ontractor o a rese ty p one —CTcen:o a , <br /> P <br /> �jC� � .�n�Y ,y, �r - � �e �� �n <br /> ontrect r ce�or ropose so oT �u� ng i <br /> _s'�'�,O 2, ' \� � r � v e c� vr re1T — I <br /> v�o ect Address I <br /> vaG c� �-0 2,�0 /J r�n �c�v«�, i <br /> �.. .� "�� S s:r pt on o ' or cR oT— one: � <br /> ', N��,�� � �11 � T�be� � <br /> , . � <br /> � <br /> �� —�� � �� ,���� � o ��Ie �� i <br /> 0 <br /> C� � e � wl,c� ���}v�es i <br /> . � ; <br /> , � <br /> �� � NOTE: WAC 296-46-140 NEOUIRES IHAT PUNS FOR ELECTRICAL MORK AT EDUGTIONAL� INSTITUTIONAL OR HEALTH CARE FACILITIES � <br /> BE APPROVED BY THE STA7E OF W�SHINCTON. APPLICANTS MI1H SUCH JO85 MUST SHOM iHE STATE APPROVED PLANS BEFORE A � <br /> - . CITY OF EVEflETT PERMIT WILL BE ISSUEb, <br /> iI__, 'IOTE: WIRING IN NON-GWELLINGS IS NEOUIflEU TO DE IN METAL RACEWAYS. �! <br /> `�� ' <br /> � 1 I HEREBV CERTIFY THAT 1 NAVE H�_AD AND E%AMINED THIS I� <br /> . `t� APPLICATION AND KNOW THE SAME TC.BE TRUE AND COfiRECT.ALL <br /> � VFOVISIONS OF LAWS ANO OFDINANCES GOVERNING THIS TYPE OF . <br /> WORK WILL BE COMPLETED WITH WiIETHEF SPECIFIEO HEREIN OH � <br /> � NOT. THE GNANTINO OF A PERMIT �OES NOT PRESUME TO GIVE <br /> 1 , . AUTHORITY TO VIOLATE OR CAPSCEL THE PROVISIONS OF ANY ,I <br /> "�j OTHEH STATE OH IOCAL UW REC�ULATINO CONSTRUCTION OR THE <br /> PERFORMANCE OP CONSTflUCTIQN.THAT I AM AUTHOi71ZED BV THE ��J V <br /> - � OWNEF OF THIS PROPEflTY TO PERFORM THE WOFK FOR WHICH FEE <br /> � APPLICATION IS MADE ANJ I COMPLY WITH THE STATE <br /> CONTRACiOFS LAW 1827 RCW AND 296200 WAC. <br /> X - ..� l�� �� �� - �z _�: <br /> 5 natura � Date <br /> J` (, ! <br /> 7 <br /> � '_' _J <br />