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+ e , <br /> APPLICATION FOR ELECTRICAL PtRMIT <br /> �everett <br /> BUILDING DEPARTMENT ,� <br /> 259•8810 <br /> . <br /> er / a dreas ty p hone Y <br /> `YJVr c`r'e �tl�n�.cl '✓ .f7a 5(c/� �u^-•-•�f c/8ze� 7 s=� 2 �� 6 <br /> enan a C res it�y� p hone <br /> f <br /> ectr ca ntrector �ie T-7Cddress ty ip hone ieense <br /> /r P o Y/�s-•--.)�_�N"A�� �A�K...V.�.� ,` <br /> ontract +ce o or ropose se o ui1H�g . <br /> i. <br /> 2 u.�. ��.=�'�' <br /> ro ect dtlrees �/ : <br /> n)a,,.� L ' � .., .•t� � <br /> biacriptlo�W� o e one: k <br /> . � <br /> . w <br /> , <br /> } <br /> � <br /> r: <br /> M <br /> . � <br /> NDTE: WAL 296-��6-140 REOUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONFL� INSiITUTIONAL OR HEALTH CARE fACILITIES � <br /> BE APPROVED BY TNE STATE Of MASNINGTON. APPIICANTS MITH SUCH J085 MUST SHON 7HE SiATE APPROVED PLANS BEFORE A <br /> CITY OF EYERETT PERMIT XILL BE ISSUED. � <br /> NOTE: WIRINC IN N��N-DWELLINCS IS REQUIRED TO BE I1: METAL RRCEWAYS. � <br /> \ � <br /> � HEREBY CERTIFY THAT I HAVE READ AND EXAMINED '(HIS �/ (1 �n/ � r <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL ,/'1" \ : <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF . J ' <br /> WORK WILI BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR � <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE � <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY �' <br /> OTHER STATE OR LOCAL UVi REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHOF2ED BY THE J� ��) � <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH FEE �`y-�-�� �. <br /> APPLICATION �S MADE AND I COMPLY WITH THE STATE ti: <br /> CONTRACTOHS LAW 7827 RCW AND 296.20D WAC. L <br /> , i <br /> , <br /> a <br /> � s. <br /> 3-zY-9Z ; <br /> gnature Date <br /> . % <br /> � <br /> :. _ .. . .. _ . . � <br />