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APPLICATIvN FOR ELECTRICAL r�RMIT <br />:�r�F <br />ever�t# <br />9UILDING DEPARTMENT <br />?59-8810 <br />/U�- l�./_ J�c'7 <br />C�c' N¢c:�v <br />!.; J,v, /3tn�� i <br />11ai1 Address <br />y« ti. n.a <br />Mai i �Tddress <br />J:4,�, i13a.1. <br />z n:..r <br />�7 il - <br />�.� /:'v,;v ;� ��ur <br />ty p <br />�Y F <br />�. � � , r��.-..T 5 ���•� <br />e2 S�d'-� y' 7 � <br />e <br />,y�r, .,� -- —� -, " � �"�"ELEC7RIC L`�c!FFt`� :�•":C.�NESI i47Q1. ? <br />ontract rice o'xor ropo.sed se o �� C 9� T�',�l�g�'S'r��i.;� �j 6(�FNFQ� 1-S � <br />�vJ . /J /�cnli �r/1=1 /� c%J.C.+_!C L.%r.�..J�y <br />F�0)CCC /1dQfC55 \ � � <br />�3/1„! f--+ <br />)iscription of 'Nork o de one: <br />a <br />�� �/.'a ..�.e...-�i J+-+,.t <br />NOTE: 'NAC 296-46-140 REOUIRES THAT PLINS FOR ELECTRICAL WORK AT EDUCATIOI�AL� INSTITUTIONA� OR HFALTH CARE FACILITIES <br />�E APPROVEO �Y TNE STATE OF WqSHit:f,T017. APPL�CANTS WITH SUCH J095 11U5T SHO'd 7HE STATE APPROV[D PLANS �EFORE A <br />CITY OF EVERETT PERMIT WILI BE ISSUED. <br />NOTE: 'NIRIIIG IN NOR-DN'ELLINGS IS REOUIRED TO f3F IN 11ETAL RACE'a'AYS. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAI✓�INED THIS <br />APPLICATION AND KNOW THE SAME TO BE TfiUE ANU CORRECL ALL <br />PROVISIONS OF l.AWS AND ORDINANCES GOVERNING THIS NPE OF <br />WORK WIIL BE COMPLETED WITH WHETMIER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PEiiM1T DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OF LOCf1L LAW REGULl+TING CONSTFUCTION OR THE <br />PERFOFM1IANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PqOPEflTY TO PERFOFM Tl�E WOF7K FOF WHICH <br />APPLICAT�ON IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />X ��o,�..,� � ll,�.'— , � �' ,� �' - <br />Sigt�a�,tur� � �atc <br />\J <br />� �i <br />FEL . �,I 1__.. <br />