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_ .� <br /> � <br /> � <br /> � � APPLICATIO� FOR ELECTRICAL PF�MIT <br /> q�� <br /> ��� CITV OF . <br /> everett <br /> R�� BUILDING DEPARTMENT <br /> zss•ea�o ; , � <br /> �� <br /> � � 1,/, <br /> �W NirC (!)a �,�e� �7/// <o�ro-, !�� t."�nPfi� �J6d�1 3sS= S�s' 7�j <br /> '�iner ST71�ddress ty D one <br /> Q• <br /> �M .-`s¢ <br /> y enant a res� tY P °^e <br /> F+ N4i C/.cfi,��o /l n�- f,.v, ./.�-. '7�d>3 ,l — �.f. �/r�.� ' <br /> a� eetr ca ontractor a resa Cy p one cenae <br /> ��Q�Q�pyyy z , <br /> r ontrict r ce o or ropose se o u nq <br /> po <br /> b <br /> .. ,_ ,w.. ro ect rosa <br /> 7/�� �G o.-� re� <br /> icr pt on a or o e onet <br /> /1p�.E . /o�� r S � � c` th .� r.•<�. 1�r� �.� _ <br /> S l L/�tG !/JC/ �� /� � �Cb/ C'� J- /� /"�P� ,a� C �rGr� �'/� . <br /> i / <br /> ���1 <br /> 1 i <br /> � NOTE: MAC 296-46-1C0 REOUIRES TFUi PLANS FOR ELECTflICAL MORK AT EUUCATIONAL� INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> �_ BE APPROVED BY THE SiATE OF NASHINGTON. APPLIGNTS MITH SUCH JOBS MUST SHOX THE STATE �PPflOVED PLANS BEFORE A <br /> i � CITY OF EVERETT PERMIT tlILL BE ISSUED. <br /> � . NO7E: MIRINC IN NON-ONELU NGS IS REOUIRED TO BE IN METAL RACEMAYS. <br /> i <br /> I � <br /> �� <br /> � NEREBV CERTIFY THAT I HAVE HEAD AND E%AMINED THIS <br /> APPIICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PHOVISIONS OF LAWS AND ORDINANCES 60VERNIN6 THIS TYPE OF <br /> � WORK WILL BE COMPLETED WIiH WHETHEfl SPECIFIED HEREIN OR <br /> �I� NOT. THE GRANTIN6 OF A PERMIT OOES NOT PRESUME TO GIVE <br /> AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS Of ANY <br /> OiHER STATE OR LOCAL UW REGUUTING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT 1 AM AUTHOH12ED BV TME ,� , , _� <br /> � OWNER OF THIS PROPENTY TO PEFFORM THE WOFK FOR WHICH FEE <br /> �,�I APPLICATION IS MADE AND I COMPLY WITH TNE STATE <br /> � CONTRACTORS UW 1827 HCW AND 298.20'1 WAC. <br /> ���� X C/''� /j /�%�.1.-� �/ �`7 - � 1 <br /> Signeture Date <br /> � ,: � _ <br /> 1 <br /> I <br /> , � <br />