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APPLICAI�JN FOR ELECTRICAL ,�ERMIT <br /> . _.. ._ . CiTY OF EVERETT <br /> BUIIDING DIVISION • <br /> 3200 CmAR STREET <br /> EVE7tETT, YA 98201 <br /> 259-8810 3�U3 l.� ��G�JIN.G n,L . <br /> � � <br /> l - (� � � " Z-�33 <br /> ner a ress <br /> ty tate p one <br /> il <br /> � Cf�l Z� <br /> p 0 �-�o� � nF�t <br /> Tant�J `/� a resa �—�� statai p one <br /> �(�T- � C I G �h `���.v, z�Pr'�'�"State P ) � A��T ``��:`��c ��513.5 <br /> ETeetr oa ontractor Mati nadjess 3tY <br /> one tate eense o. <br /> � ��0 �� <br /> ontract r ee o or ropose se o u� ng <br /> ro eet d resa <br /> Diaeript/on of Mork To Be Done: <br /> ' 1 c-�� ; t�o l-4�tc o E=i r2, A I c rY+-� <br /> NOTE: WAC 296-46-740 REOUIRES TIiAT PlANS FOR ELECTRICAL WORK AT EOUCATIONRL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> BE APPROVED BY THE STATE OF WASH�NCTON. APPLICANTS NITH SUCH JOBS MUST SHOW THE STATE APPROVEU PLANS BF��RE A <br /> CITY OF EVERETT PERMIT MILL BE ISSUED. • <br /> NOTE: MIRINC IN NON-DMELLINGS IS REOUIRED TO 8E IN CONDUIT. . <br /> I HEHEBY CERTIFY THAT I HAVE HEAD AND' EXAMINED THIS <br /> APPIJCATION ANO KNOW THE SAME TO BE TRUE AND COHRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> OT. THE GPANTIINNAG O AD ERMIT D ESENOT PR'ESUME TO GI�VE <br /> AUTHORITY TO VIOUTE Oq CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAI LAW REGUTATING CONSTRUC710N OFl THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE , I "� 7� <br /> pppLICATFONISISRMADE ANOPERCO PLY WITHKT ER STATE FEE ��-/ / �— <br /> CONTRACTORS UW iB27 flCW AND 296200 WAC. <br /> X �Vl��n �jC� � �/L'��� <br /> Signature Date <br /> �� <br /> r� <br /> i;��-�� <br />