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APPLICATIUN FOR ELECTRICAL NERMIT <br /> �1.�� `3 <br /> CITY OF EVp2E7�{ <br /> WILDING DIVISION <br /> . 3200 CmAR STREET <br /> 259-88f0 �ETT. M� 9ezot <br /> � � <br /> � �' ' 'i� v ! Q�i �fn �4l`�i Q��f� i .� r-� v <br /> uwner e Ad resa S L- �L ! t°� �C�/� ���('Y �r.� ���y� <br /> , t te1ZTp�e —�� <br /> Tenant a rese <br /> -� LY tate �� <br /> P o e <br /> !� � , � . � „ /' - J/ 33U-a <br /> eetr ca o ac or�� A / e i eaa � .�oy/.ri �� / • .� -}y lL�� �.��''� ��,�F/e�f/ ���� <br /> �rr'r� 3tate p one state Llcense a. <br /> onCrect r ce o or '-P—ropoeed�e�u�T'd(ng <br /> !c%Ofl l�n�E� . /�� C l/� 1 �ri� <br /> rro�ece nCEreaa <br /> n <br /> Dlecrtptlon of Mork To Be Done� � � � ��' <br /> - .-��n - �1,�,.��t���=�u-r.1.-Z� �ln ,�zc <br /> NOTEt MAC 296-q6-740 REpUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> BE APPROVED BY THE STATE OF XASHINGTON, APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE APPROVED PLANS BEFORE A <br /> ,CITY OF EVERET7 PERMIT MILL BE ISSUED. <br /> NOTE: MIRINC IN NON-DWELLINGS IS REpUIRED TO BE IN CONDUIT. <br /> I HEREBY CERTIFY THAT I HAVE HEAD AND' EXAMINED THIS <br /> APPIICATION AND KNOW THE SAME TO BE TRUE AND CORqECT.ALL <br /> PqOVIS10NS OF UWS AND OHDINANCES GOVERNING THIS TYPE OF <br /> WOFK WILI BE COMPLEfED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE ORANTING OP A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHOFITY i0 VIOU7E OF CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAI UW REGULATING CONSTHUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHOfiIZED BY THE <br /> OWNER OF THIS PROPERTY TO PEHFOFM THE WORK FOR WHICH FEE ��,��`i <br /> APPLICATION IS MADE R.ND I COMPLY WITH TNE STATE — <br /> CONTRACTORS LAW 1 B.2)HCW AND 296.200 WAC. <br /> i� <br /> � � <br /> I �:� <br /> L�.,oE�ll �,c1�[��r�Y� ��5 , <br /> Stgna[ure Oate <br />