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. _. . <br /> : '��� <br /> .� <br /> ' { <br /> ��� . � . . , <br /> � � APPLICATION FOR ELECTRICAL PERMIT <br /> ��� <br /> C�iV OF <br /> R u� everett <br /> ��� BUILDING DEPARTMENT , ' <br /> a 259-8810 <br /> Mp <br /> Q a A <br /> �M� I <br /> ner . a dOress ty p hrne <br /> ►4 /� � . , I <br /> �h�+ 1� d'ly�'�//V!' �ti 14 � l� Li'��/ c ciTl'c'"� k'A G '��� � - 2 S� -�l 7�� � <br /> �JfiO Tenan[ � ai tl reas 1ty p / �one � <br /> w�H ectrfc.a ontractor ai dress ty p hone tcense x <br /> �.- �� �1� Ci: � 71��- 7'��ti�c - zs_L�' � �� ��� z 3}y .i� � i h�Nl�' '' ll�iii_ <br /> o�ntract r ce o or ropoae se o ui ing <br /> ;� 2oG �' <br /> ra�ect dEress n <br /> IY�� //�1 1/�C����� <br /> i�tton of Mork o e one: <br /> �— (�' c �� Ilv � _r., <br /> � �� � l� � �l, sl <br /> I � �� <br /> ; <br /> ��� <br />� NOTE: KAC 296-46-140 REOUIRES THAT PLANS FOR ELECTRICAL WORR AT EDUCATIONAL� INSTITUTIONAL OR HEALTH CARE FACIU TIES <br /> BE APPROVED 6Y THE STATE OF WASFIING70N. APPLICANTS MITH SUCH JO85 NUST SHOW THE STATE APPROVED PLANS BEFORE A <br /> � �_ CITY OF EVERETT PERNIT WILL BE ISSUED. <br /> � NGTE: WIRING IN NON-DWELLINGS IS REOUIRED ?0 BE IN I-0ETAL RACEWAYS. <br />; � „ �.) <br />� ; , I�I I HEREBY CERTIFV THAT 1 HAVE READ AND E%AMINED THIS hl��` <br />` . APPLICATION AND KNOW THE SAME TO BE TRUE AN�CORRECT.ALL <br /> f PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS lVPE OF <br /> WORK WILL BE COMPLETED WITH VlNETHER SPEGIFIED HEREIN OF <br />', � NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GNE <br /> AUTHORITY TO VIC�LATE Ofi CANCEL THE PROVI��7NS OF ANY <br /> + I � OTHEF STATE OF LOCAL LAW REGULATING CONSTFUCTION ON THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHOFIZED BY THE C�J <br /> OWNER OF THIS PROPERTV TO PERFOiiM THE WORN FOR WHICH FEE ��C�'�� <br /> I ,_� APPUCATION IS MADE AND I COMPIY WITH THE STA7E <br /> iL+I. CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> \ 7 <br /> X \ / <br /> � <br /> � �r.� � .. ._ . , - yll�)�� z <br />` .�g.,��..;.;.'� :. Signature �ate <br /> I <br /> I , <br />