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p�y � <br /> ❑ � <br /> ��� APPLICATIUN FOR ELECTR(CAL P�RMf� <br /> pH p7d <br /> '+tl y'Rl [ <br /> z ��,") CIT"/ UF EVhJ17T <br /> �--� 11UILDING DIViSiON <br /> .1200 CFDM S14E�T <br /> O � '_I � Eti'ERETT, NA 9�!�201 <br /> ��g 259.88,o Pv ��as � � as� •d�.y <br /> �r � <br /> �� �C7 C ��.5/�7 `i �,/Ol'f��`/ `' ���ehe � <br /> �i y Onne7r'_�_//'��' -.L—�c�t' �'eI`t� t L c� --'��--- <br /> H a ress ty tate <br /> p � one <br /> 8y <br /> H <br /> ��y enant � ai ross ty Ca[e <br /> � p o_�_— <br /> �y ����h � � r,� <br /> �� ectr cal ontractor a ress ty tate p one tate cense o. <br /> ontract r ce o or ropose se o u ng <br /> .�.y/9 Fi'� r�?�`Ct✓�= <br /> Fro ect aaress <br /> Discriptian of Work To Be Dane: �� n��Q C��17/-j sp h ✓i G p /D <br /> -�0-- U Gl�j� ' �P�_y���_-u��/ u�—� / $iHc/f"< "Y �Pr O I"�� O <br /> i' � <br /> L ,C l <br /> Q� �/'/7.� !4 /[' �r'H __ <br /> I � \ <br /> '�/ <br /> i ; NOTE: WAC 296-46-140 REpUIRES THAT PLANS FOR ELECTRICAL WONN AT E�UCATIONAL� INSiITUTIONAL OR HEALTH CARE FACILITIES <br /> BE APPROVED BY TI1E STA1E OF MASHINGTON. APPLICANTS WITN SUCH JOBS MUST SHOM THE STATE APPROVED PLANS DEFOflE A <br /> � CITY OF EVERETT PERMIT MILL BE ISSUED. <br /> ' 1 NOTE: WIRfNG IN NON-DWELLINGS IS P,EOl11RF.D TO OE IN CONDUIT. <br /> 1�1 <br /> � I HEREBY CERTIFY THAT I HAVE READ AND� EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.AI L <br /> �' PqOVISIONS OF UWS AND OHUINANCES GOVERNING THIS TYPE OF <br /> � WOFK WILL BE COMPLETED WITFi WHETHEfl SPECIFIED HEflEIN OR <br /> NOT. THE GFANTING OF A PERAIIT OOES NOT PqLSUME TO GIVE <br /> �1 AUTHORITV TO ViOUTE OR CANCEL THE PROVISIONS OF ANV <br /> OTHER STATE OR IOCAI UW REGUUTING CONSTFiUCT10N ON THE <br /> � PERFOFMANCF.OF CONSTRUCTION.THAT I AM AUTHOFIZED BV THE _ �� <br /> �� OWNEfl OF THIS PROPERTY TO PERFORM THE WORK FOH WHICH FEE <br /> APPUCATION IS MADE AND I C061PLY WITH THE STATE ��. <br /> �' CONTRACTORS UW 19.27 RCW AND 296.200 WAC. <br /> �� <br /> �� l <br /> .� X � � <br /> �-,,'y/��.Cr�-�.,� � <br /> gnature Date /` r� <br /> � � ��{ J <br /> � <br /> I <br />