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„ :, � <br /> � � APPLIC./'.�TION FOR ELrCTRiCAL PERMI'i' � <br /> � � � <br /> � � z � CL cin oF ev�aerr <br /> N � U oui�nixc orvision <br /> / 3200 CmAR STREET <br /> p� � p� , EV�ETT, XA 98201 <br /> � � "r� 2ss-asin �/15-783 5(0�0 <br /> °a n � �id� F��,95�m�nn,i.c��_�.��.��� 95�5�/.� <br /> � ro ner ai Address ity tate ip honc <br /> M , <br /> � N J,9c(c� w—�� � <br /> y enant r1�� a ddress �ity taCe ip hane <br /> t� <br /> � � � �R2�c�= �� 7z2��"1D S�SuJ 1�f�9r1 �J� 9k�3h 775�5'93a-Ti�22Rr.S�rS��Jt <br /> y ectrica ontrac[or a� nddress �C�L'-y—�tate Zip one a[e icense o. <br /> O H �/ <br /> � / f /��'� � - ! (/ 2� C� � <br /> ontract rice o or ropose se o Bui d�nq <br /> `'1 / l I C_ UP�C2PY'F1^���«. .. <br /> ro�ect Address <br /> Discription of Work To Oe Done: �v!(' � /rZ�� /� ft/<< u(�a�� � <br /> / <br /> � ��� <br /> , ; <br /> 1 �-._ � - <br /> I �� NDTE: WAC 296-46-740 REOUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL� INSTITUTIONAL OR HEALTH CARE FACIlI71E5 <br /> , � DE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE APPROVED PLANS BEFORE A <br /> CITY OF EVERETT PERMIT WILL �E ISSUED. . <br /> '��� NOTE: WIRING IN NON-DWELLINGS IS REOUIFED TO BE IN CON�UIT. <br /> I �� <br /> ' I HEREBY CERTIFY THAT I HAVE REAO AND” EXAMINED THIS <br /> l�.t ' APPLICA710N AND KNOW THE SAME TO BE TPUE AND CORRECT.ALL <br /> _ PROV�SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> � WORK WILL BE COMPLETE�'NITH WHETHER SPECIFIED HEREIN Ofl <br /> NOT. THE GflANTING OF A PERMiT�OES NOT PpESUME TO GIVE <br /> � AUTHORITY TO VIOLA7E OA CANCEL THE PFOVISIONS OF ANY <br /> OTHER STATE OF LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> + �'' , PERFUFMANCE OF CONSTRUCTION.THAT I AM AUTHOFiRED BY THE J —7�JI <br /> OWNER OF THIS PROPERN TO PEPFOFM THE WORK FOfl WHICH FEE J Z / �V <br /> I . APPLICATIO IS �AADE AN� I COMPLY WITH THE STATE <br /> � CONTRACTO 5 LAYJ 1927 RC AND 296200 WAC. <br /> �r� � � <br /> X / l/ - ��f`� <br /> :i � <br /> Signature Oate � <br /> 3�5� <br />