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��� _ <br /> � y APPLICATI�N FOR ELECTRICAL � cRMIT <br /> �pH� t~i� <br /> Hz� <br /> K f] <br /> H 77 <br /> �� � `everett <br /> �7C� BUILDING DEPARTMENT <br /> ��4� tty 259-8810 <br /> OMp <br /> p� (� <br /> f H� F.verett School District !.'2 <br /> r'H y er Mai ddress ity p hone <br /> �� Everett School District If2, 2302 Everett Ave., Everett, 11A 339-435D <br /> M <br /> C7 V1 enant ail E ress Sty p hone <br /> �a fA <br /> �y ectr ca ontractor ai rcas ty p hone cense Jt <br /> 3 O fA O W A/fr-/L <br /> , ontract r ce o or ropose se o ui ng <br /> � ' .�...� ,.s,,,��...,,s �i yl. <br /> - �o,7ect Edress <br /> �� 3� C°oCBy <br /> b�scnption o Work o e one: r <br /> Service connection - from P.U.D. - as per electrical code. �/ � <br /> ' t <br /> '�' <br /> � 1 <br /> 1�' NOTE: WAC 296-46-140 REOUIRES THAT PLANS FOF ELECTRICAL MORK AT EDUCATIONAL, INSTITUiIONAL OR HEALTH CARE FACILITIES <br /> '�' BE APPROVED BY THE STATE OF MhSNINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE APPROVED PLANS BEFORE A <br /> CITV OF EVERETT PERMIT WILL BE ISSUED. <br /> ' ' NOTE: WIRING IN NON-DWELLINGS IS REOUIRED TO BE IN METhL RACF.WAYS. <br /> � <br /> ' ' I HEREBY CERTIFV THAT I HAVE f7EAD AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.AlL <br /> �' PROVISIONS OF�AWS AND ORDINANCES GOVERNING THIS T'PE OF <br /> � WOflK WILL BE COMPLETED WITH WHETHEF SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> '� AUTHOFITY TO VIOLATE OR CANCEL THE PROVISIONS Of ANY <br /> OTHER STATE OR LOCAL LAW REGULATMG CONSTRUGTION OR THE <br /> �' PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE r� <br /> � OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH FEE ;J S� <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> �' CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> ��'r���.�.�,� �lf-[�-y h-/S�� <br /> Signature Date � <br /> � � %/ {� <br />