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q <br /> �� � <br /> D� x <br /> C N <br /> � y y ..._.__��.� <br /> y �� _----....,. - _ . ._., . ._.. - � :��. <br /> re y � a' y P^� . � <br /> �y � APPLICbTION FOR ELECTRICAL PERMIT ' -�.,,.i� <br /> z ,i; � <br /> � <br /> o �d --�\;' <br /> o � <br /> cirr oF � <br /> Q`�g ev�rett <br /> �H� BUILDING DEPARTMENT � <br /> �..� y 259-8810 <br /> y <br /> g�y �� <br /> � y � hone <br /> y p y ��� a drcss tY P . � <br /> New Peking� s a rant 3133 Broadwa Avenvc North Everett hone52-1663 <br /> enant �a� ress ��—�Z�— . <br /> Fissman Clectric Inc 7627 - 44th AVenue NE, Marvsville, WA 98270 RISSMEI147CL <br /> ectr�ca ontractor ai ress ty p hone cense <br /> $250.00 Restaurant <br /> -ontract n ce o or +cpo5e se o u ng <br /> 3133 Broadway Avenue North, Everett, WA 98202 <br /> ro ect dOress <br /> Connect new 4 ton as ack and make-u air <br /> scr ptron o 1Yor o e one: <br /> �(��. <br /> � � <br /> I C_� <br /> NOTE: WAC i96-46-740 REOUIRES THAT PLANS FOR ELECTRICAL WCRK AT EDUCATIONAL� IIISTITUTIONRL OR HEALTli CARE FACILITIES <br /> � _— BE APPROVED BY THE STATE OF MASHINCTON. RPPLICANTS NITH SU�H JOBS MUST SHOX THE STAiE MPFOVEO PLANS UEFORE A- <br /> i CITY OF E�E0.ET7 PERMIT MILL 6E ISSUED. <br /> NOTE: NIRING IN NON-DNEILINCS IS REOUIREU TO OE IN METAL RACEWAYS. <br /> 1��j <br /> I NEREOY CERTIFY THAT I HAVE READ AND ERAIdINED THIS . <br /> APPLICAilO1J AND KNOW THE SAMG TO B[TRU[AND CORRECL ALL <br /> ; '�� PROVISIONS OF LAWS AND OfiDINANCES GUVERNING THIS TYPE OF � <br /> �s� WCRK WILL BE COMPLETED WITH WFIETHER SPECIFlED HEREIN Ofl . <br /> NOT. THE GFANTING OF A PERMIT DOES NOT PH[SUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEI. THE PROVISIONS OF ANY <br /> O?HER STPTE OH LOCAL V+W i7GGULATING CONSTRUCTION OR THE �. � <br /> � PERFORId�NCE OF CONSTfiUCTION.THAT I AA7 AUTHORIZED BY THE n <br /> ��'� APPLICAOTIONISISRMAO ANDrE GOMPL'i+ WITOHKTHE STATE FEE �I /� f . <br /> � CONTRACTORS LAW 18.27 RCW AND 296200 WA�. . . � <br /> X �.-7�`_ �,�,_,,,•s,� 5� a7 qy.. <br /> Signature Date <br /> � 11 <br /> � " <br /> �� . . <br />