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� �H <br /> , -. <br /> i � <br /> y�� �� APPLICATION FOR ELECTRICAL PERMIT <br /> H 7d <br /> '� H � <br /> y�"� CITY OF [VERETT <br /> .� DUILDIHG DIV;SION <br /> � O <br /> O H C7 EVERET�^M�598201 <br /> ��, g zss-ss,o <br /> �V �] �J <br /> xy y� JCDT7 ,S�/CO/�� � <br /> r ncr 'FTai� dtlress ity tace Iip hone <br /> HH <br /> �� 9�.�0 <br /> c v, �.3 ��.�� ?y��a'G/� �/� �.r/G � ' uJs� / _ <br /> �C enanl t Mai ddress ity tate/� hon���� S <br /> �� � �Ar <br /> yo� w �U�_f1��S .��1 /.�£`5°C"i/ ,f°1 �U�i'.2n�."`�` �S3/SS7 � S� <br /> ectnca ontractor ai ddress ity 3tate p hon �t— t�icense flo <br /> � .�UC� � � ( ��rS/.d/�� . <br /> on� rice o ork roposed se o ui ding <br /> aa � �/li/�GF w�� ��P/r' //'A - <br /> roject Address <br /> Discription of Work To Be Done: ��;�L�//!�i/�'LG�X�` %//r7� SV�Ar�� <br /> � _ ,, <br /> /3,�o�y ��o�P� �tif � � l�s_�_�� <br /> , C�': <br /> { � <br /> � <br /> __ <br /> , <br /> � L_� <br /> 'I ' NOTE: WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL� INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS W11H SUCH JOBS MUST SHOW,THE STATE APPROVED PLANS BEFORE A <br /> �� CITY OF EVERETT PEP,MiT WILL BE ISSUED. <br /> � r� NOTE: WIRING IN NON-DWELLINGS IS REpUIRED TO 8E IN CONDUIT. <br /> � I HEREBY CERTIFY THAT I HAVE READ AND� EXAMINED THIS <br /> j �� APPLICATION AND KNOW THE SAME TO BE TRUE AND COFRECT.ALL <br /> ' PROVISIONS OF LAWS AND OiiDINANCES GOVERNING THIS NPE OF <br /> WORK WILL BE COMPLEfED WITH WHETHER SPECIFIED HEREIN OR <br /> NOi. THe GRANTING OF A PERMIT �OES NOT PRESUME TO GIVE <br /> � AUTHORITY TO VIOLATE OF CANCEL THE PROVISIONS OF ANY <br /> (� I�1 1 OTHEA STATE Ofl LOCAL LAW REGULATING CONSTRUCTIO`I OR THE l� <br /> PERPORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE / <br /> , OWNEfl OF THIS PROPEflTY TO PEFFORM THE WORK FOR WHICH FEE �J �f <br /> � APPLICATION IS MADE AND I COMPIY WITH THE STATE <br /> 1 t�'� CONTRACTORS LAW 18.27 flCW AND 296.200 WAC. <br /> 7 • � i <br /> — <br /> X � <br /> -� l-�z�-�� <br /> � Si natt�re �ate <br /> �7 /�. / <br /> � <br />