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� � I ' <br /> APPLICATION FGR ELECTRICAL PERMlT ; ';, �;�'+ <br /> cmoF � ' <br /> everett � <br /> BUILDING DEPARTMENT ' <br /> 259-8810 �� <br /> � <br /> A,e�r .�i�oTDJ9L ,�'a,c SZ�7 CU 9�1_o v „� SQ �`.�S�r <br /> ner ai ddress ty p hone <br /> � enant ai ddress ty p hone <br /> �RAN�r� ���. d �9d'� Eti 9�L�j aS�.44.?� GQSN;C-i 2�Pc c: <br /> ectr ca ontractor a� ress ty p one cense <br /> 3 o D D D o�'S�r.�e fi ,(�E� . <br /> ontracfJ r ce o or ropose se o u ng <br /> a �io cai�� <br /> � ro�P—ec�ddresi� <br /> �� �1�� <br /> sGi cr{ption o�Ylor o e one: � <br /> NOTE: MAC 296-46-140 REpUIRES THqT PLANS FOR ELECTRICAL MORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> BE APPROVEO BY iHE STAtE OF MASHINGTON. APPLICANTS XITH SUCH JOBS MUST SHON THE STATE APPROVED PLANS BEFORE A <br /> CITY OF EVERETT PERM�T WILL BE ISSUED. <br /> NOTE: WIRING IN NON-D6'EILINCS IS REOUIRED TO BE IN METAL RACEWAYS. <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMIN[D THIS IU� <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL V ' <br /> PROVISIONS OF L/1WS AND ORDINANCES GOVERNING iH15 TYPE OF � � 2t uJ v � � . <br /> MURK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR �� i 4 � <br /> NOT. THE GPANtING OF A PEAMIT DOES NOT PRESUME TO GIVE J S7 , � <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS Of ANV <br /> OTHEH STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE ��� U� . <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORI2ED BY THE , <br /> OWNER OF THIS PROPERTY TO PERFORM THE WOHK FOR WHICH FEE <br /> APPUCATION IS MAOE AND I COMPLY WITH THE STATE � <br /> CONIRACTOHS LAW iB.27 RCW AND 296200 WAC. , <br /> X �7��i ���i _9z �� <br /> Signa re Date /,��� <br /> ✓ <br /> z Y��t . • <br /> � ' _ . <br /> . - � �wa!`:. . <br /> �re�< <br /> �1: <br /> �,i.a;,. ,, <br />