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APPLICATIUN FOR ELECTRICAL NERMIT <br />:r �, <br />everett <br />3UILDING DEPARiMENT <br />'S9�B810 <br />n �� �- <br />� <br />,emnc . ea.eaa cr v none <br />�-PN Y-oia6G.A€u'c*' 9S'3/.�ir �1�� ��r�� 9d�f )'Sea6 �UNPoE1o/�'�3� <br />: ec[r ce ntreetor a Eress ry 0 �^� �«^�� � <br />ar so <br />"= j/C�SL <br />.oncnet r ca a tor ropoaea �e o m a ng <br />q CQ L Y <br />ra)ec[ UOress <br />:+icrlptton o �a�k o e one: ' f <br />�0 0 i1- SGfZviU Ci/'-��P vG-4 G-•FYLaW.: �pr7� T/G•� —,G�+-T/f <br />I'IDiE: M�C 296-�6-140 REOUIRES TXRT PL�NS �OP ELECiRICAL MORI( Ai FDUCATION�L� INSTITUTION�L OR NEALTH CARE i�dLITIES <br />8E APPROVED BY TME STATE Oi MASHINGTON. APPLIUNTS MIiN SUCH JOBS MU51 SHOM TNE ST�TE ACPAOVEU PlANS BEFORE � <br />CITY OF EVERETT PERMIT FILL BE ISSUE�. <br />I r10TE: ■IN�NG IN NON-DMELLINLS IS REOUIREO 70 BE IN MET�L RACEMqYS. <br />I HERE6Y CEfiTIFY THAT I HAVE REAO ANO EXAMINED TNIS <br />AGPLIC�TION �NO KNOW TNE SAME TO BE TRUE �ND CORPECL I1LL <br />PROVISIONS OF UWS AND ORDIN�NCES GOVEPNING TH�S T'PE OF <br />WORK WILI BE COMPLETE� wITM WHETHEN SPECIFIEO HEREIN OR <br />NOT. THE GRANiIN6 OF A PERMIT DOES NOT PRESUME TO 61VE <br />�UTHORITY TO ��OLATE OR G.NCEL THE VROVISIONS OF ANY <br />OTMER STATE OH LOC�L UW RFCULATING CONSTRUCT�ON OR THE <br />PEFFOAMANCE OF CONSTFiUCTIOV. THRT I AM AUTNOHRED 9Y THE <br />OWNER OF THIS PROPEflTV 10 PERFORM THE WOflK FOR WHICH <br />APPLIC�TION IS MAOE AND I COMPIY WITH THE STATE <br />CONTRACTORS LAW 18.17 FCW ANO 2%.200 wA4. <br />X.-!�Q t, ��7�� !_.. , t �fj' �� <br />Slqn�tun Uate <br />FEE <br />