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C � H � + V~� <br /> `� y APPLICA '�N FOR ELECTRICAI , ERMIT <br /> 7 H N . <br /> M .�+ Z . . _ . .. . <br /> �3 Z M � <br /> K n <br /> N z <br /> c s o <br /> � _ � everet� <br /> o � BUILDING DEPARi'MENT <br /> H � R 259-8810 <br /> � • _. <br /> H C <br /> [� H � <br /> Z <br /> Fi �3 <br /> N <br /> M <br /> q C y neh,�� r— Mai ddross �ty p �one <br /> c�e �0 ro , �j � - (' <br />� � o ai . L.n, ti,.•, .�.(�,o � 0.2 ,.3-c<</<:,�� ��.�:..-7�� �C3 203 <br /> enan� `AaiiT��ress ty p hone <br /> /- � eetr�cal ntraco�—AaiTA�dress � ti–y—� one eense <br /> V, ° /� <br /> �� 'ci. n /_/t�-�i� •!' .2�/i6^_ .l��nLr.(7��i- - 1�Z73 '/3iy.20�/ C�.Q�C�Ic°�'c�99�/( <br /> ont�r ce o or ropose se o u ng <br /> ro e�t dtlress � ,/� <br /> s ��.Z ��ir1�:d"/ 1!. f��->ril /r <br /> scr pt on o Wor o a one: / <br /> � Sr_�d,�!' r L'�`:..�� r ��c7� .� <br /> i . <br /> I �� <br /> � '_r -- <br /> _�� <br /> ' ' NOTE: NAC 296-46-140 REOUIRES THAT PL"u5 FOR ELECTRICAL WORK AT EDUGTIONAL� IHSTITUTIONAL OR HEALTH GRE FACIU TIES <br /> BE APPROVED 8Y THE STATE OF XASHINGTON. APPLICANTS NITN SUCH JOBS HUST SHON THE STATE APPROVED PU1N5 BEFORE A <br /> � '�� CITY OF EVERETT PERM�T WILL BE ISSUED. � <br /> � I �' NOTE: WIRING IN NON-DWELLINCS IS REOUIRED TO BE IN METAL RACEWAYS. <br /> I �� I HEREBY CERIIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRU'e AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF , � <br /> + WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> NOL THE GRANTING OF A PERMIT DOES NOT PAESUME TO GIVE <br /> ��� ' AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> � PERFOAMANCE OF CONSTRUC1lON.THAT I AM AUTHORIZED BY THE ZL-� <br /> OWNER OF THIS PROPERTY TQ PERFORM THE WORK FOfl WHICH PEE �� <br /> � APPLICATION �IS MADE AND I COMPLY WITIi THE STATE <br /> t�� CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> � X % ' , �' :� <br /> ,��, , . <br /> � �_--�---,_--- • <br />� .. .���° f"''' ��. . ; Signaturo Data <br /> 1U �"� <br /> I � ' � <br /> _} �t i <br /> < � <br /> 's <br />� �;� �y ��� <br /> �� <br /> � � <br />� � � � . . � � • 7 <br /> +� "r , " � J <br />