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APPLICATIUN FOR ELECTRICAL NERMIT <br /> � • CITY� OF EyFpETT <br /> BUILDING DIVISION <br /> / � 3200 CmAR STREET <br /> � flIERETT, YA 98201 • <br /> 259-8810 ��� <br /> ``� � ^rt ��C -- <br /> � ner �afT� rdd e,s <br /> ty tate p one <br /> �(�\�.\IJ�" <br /> °^°"t a reas <br /> ty tate p ona <br /> � ���. [-W1�_��IS3lI� C. <br /> \,.} i (._ 5 �� �\'Jr-�.Ui..i� S �.L��S� � 7U �77; <br /> ectr ca ontrector a �eae ty S ate p �"`3ta[e cenae o. <br /> ��z�s �� � <br /> ootract r ce o or ropoae ae o u ng <br /> Sfa.... � �J F�.����/ IL <br /> ro ect res� . <br /> DlserfpNon of Nork To Be Done� f{9, \\�\ s ��'•c..M\'J � 2A Rv �J � (.Z,\ � <br /> _ �J(1 �� .�� i l �� 1 s 3�1-� � JG� Z � yV —?.G �fl"3L� �CJ 35 :s <br /> � � <br /> NOTE: WAC 296-46-140 REOUIRES THAT PUNS FOR EIECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES � <br /> BE APPROVED BY THE STATE OF MASHINCTON, APPLIGNTS MITH SUCH JOBS MUST SHOX THE STATE APPHOYED PLANS BEFORE A � <br /> ,CITY OF EVERETT PERMIT MILL BE ISSUED. . � <br /> NOTEt MIRINC IN NON-DMELLINCS IS REpUIRED TO BE IN CONDUIT. <br /> I HEREBY CERTIFY THAT I HAVE FEAD ANO' EXAMINED THIS <br /> APPIIC^TION AND KNOW THE SAME TO BE TRUE AN�COFRECT.ALL <br /> PFOVISIONS OF UWS AND ORDINANCES GOVERNINO THIS TYPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFlED HEREIN OR <br /> NOT. THE 6RANTIN6 OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOUTE OH CANCEL THE PHOVISIONS OF ANY <br /> OTHER STATE OR LOCAI UW REGUUTIN6 CON5TRUCTIINJ Oq THE <br /> PERFbRMANCE Of CONSTRUCTION.THAT I AM AUTHOHI2ED BY THE �� S � �j� �/ yO <br /> OWNER OF THIS PROPERTY TO PERFOHM THE WORK FOH WHICH �E <br /> APPIICATION IS MADE ANO I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1B.27 RCW AND 296.200 WAC. <br /> X <br /> Siqn ure 0 te Q��O <br /> ,J 3 ?j �j/ <br /> y�- <br /> 9J <br /> 9� <br />