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APPLICATI��N FOR ELECTRICAL , �RMIT <br /> cin oF <br /> evere#t <br /> BUILDING DEPARTMENT , <br /> 259•8810 <br /> Loa�s C�� 2�3 � 1�Jt��,.� s���� s�n �,,. °�a2o1 �A. -P�'too <br /> ner ai Adress fty ip hone � <br /> NP.�-,✓er�'. t`�Ine .�.n"r �-�I� o ���/ /4✓Cr �,v. ��201 <br /> Tenant —Ha d ress �ity Zip one <br /> Sea�.,�rs� FI �!. �bo3 Sm�-Fl, ��e�e,� �i9Lo1 2Sa-lApL >EA4�uFJ (�990tJ <br /> ecEl t�c�-l.ontrac or —F�aiT edress ty �—Zip hone cens� �– <br /> �L�k o o ��,,.� — <br /> lontract r ce o Wor reposed Use o ui dinng • <br /> 2si � CQ �b., <br /> ro�ect dtlress <br /> biscription of 'Nork o e Done: <br /> � � <br /> �rn�.,.-�- T�r.er. DD � r lia� a��trc�.`�-�ons <br /> NOTE: WAC 296-46-140 REOUIRES THAT PLANS FOR ELECiRICAL MORN AT EOUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> BE APPROVED BY THE STATE OF XASHINGTON. APPLICJWTS MITH SUCH JOBS MUST SHON THE STATE APPROVED PlANS BEFORE A <br /> CITY OF EVERETT PERMIT NILL BE ISSUED. <br /> NOTE: WIRING IN NON-DWELLINCS IS REOUIRED TO BE IN NETAL RACEWAYS. <br /> I HEREBY CEfiTIFY THAT I HAVE READ AND EXAMINED THIS <br /> AFPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.AlL <br /> PROVIS�ONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF _ <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE ./ <br /> AUTHOHITY TO VIOLATE OR CANCEL THE PflOVISIONS OF ANY !i <br /> OTHER STATE Ofl LOCAL LAW REGULATING CONSTRUCTION OR THE � <br /> PERFOPMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE � <br /> OWNER OF THIS PflOPERTY TO PERFOFM THE WORK FOR WHICH FEF 7 , p a <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS U1W 18.27 RCW AND 296.200 WAC. <br /> X i��G�(/� I ) 2 6�) °I 3 <br /> Signature U te—� <br /> ���1 <br /> � <br />