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r. <br /> APPLICAI�N FOR ELECTRICAL�ERMIT <br /> -._ .. .. .. . CIIY OF EyQlE77 <br /> BUIIDING DIYISION <br /> � 3200 CFDAR STREET <br /> 259-881� E��ERETT. MA 98207 <br /> ART �I�orDA� /JOx Sz�i`� EVE,EE� LU/�- Q�T20� 'l S �-'f35y <br /> er Mai Address ity tate ip hone <br /> /� � P one <br /> enant af ddress ity tate <br /> ITKA.v�TL' CLE�'nC'c 29 0d El/E�TJ" w R ,)PZb3 .tSd '/45f� <br /> ectrica ontractor 7 .�iPF1N/E�2 Q3 L G <br /> ai dress ty tate ip hone tate icenae o. <br /> ��� �.vr�+n'!EP_c r A�-- <br /> ontract rice o or roposed se of ui d ng — <br /> ���/ ���6y �1 �� <br /> f0]ECL POOflSS � <br /> Dfseription of Work To ee oor,�: __ C/,�'CU/7S � n�Eu> SERi//CCS' <br /> NOTE: WAC 296-46-140 REOUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATI�NAL� INSTITUTIONAL OR HEALTH CqRE FACILITIES <br /> BE APPROVED BY THE STATE OF W�15HINGTON. AppLICANTS WITH SUCH JOBi MUST SHOW THE STATE APPROVED PLANS BEFORE A <br /> ,CITY OF EVERETT PERMIT WILL Bf ISSUE0. . <br /> NOTE: WIRINC IN NON-DWELLINCS IS REOUIRED TO BE IN CONDUIT. � � � .. � <br /> �� ,.. <br /> I HEREBY CERTIFY THAT I HAVE READ AND' EXAMINED THIS _ . V�c•�. <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORNEC7.ALl � � " " <br /> PROVISIONS OF UWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLETE� WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHOHITY TO VIOLATE OF CANCF,L THE PROV�SIONS OF ANY <br /> 07}iER STATE OH LOCAL LAW REGUL4TING CONSTRUCTION Oli THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE .� G U <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH fEE _�,� -�----- _ <br /> APPLICATIQN IS MADE AND I COMPLY WITFi THE STATE <br /> CONTRACTOFS LAW 1827 RCW AND 296.200 WAC. <br /> X ^ <br /> � � <br /> _��� .��/S�• .� <br /> -�Signatur Date ��� <br /> /n� U � <br /> J� <br />