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� _ _. _ <br /> .�, �- <br /> APPLICAI ��JN FOR ELECTRICAL rERMIT <br /> ����i <br /> cirv oF <br /> everett <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> �,��r,cXun��s ..�c� �a� � N�-�'Y�� l�.ee.�p w.� 5�z��f Ys3 �3�� <br /> ner ta Address �Cy �p hon�e <br /> /�1GGL� ��`L'779JL <br /> enant ai ddress �ty p hone <br /> (.v�A-S/-I�NIa'77�xJ �[.-iW/��l /-?S7 s.JpGi�Jo.v 5��1�7z� 9S'i5�y ��•3�aP <br /> eetr ea ontraetor a� dress �ty rip hone �cense <br /> �(�O. o v ��c-7J5'� �- <br /> ontract rfce o�1or ropose se o u� d ng <br /> ro � dress � �/ ��-' "�� �� <br /> `��0��f 9`�S � G�=� <br /> Biscription o Work o e Done: <br /> Z�l.)�,C_ f7- 7�/�'.��r17/TTi i�L iZ' /�Z dr��/�T'c,y� .SU l�//UCC�,� <br /> S YS�rh <br /> " � NOTE: WAC 296-46-140 REOUIRES THAT PLANS FOR ELECTRICAL WORK AT EUUCATIONAL, INSTITUTIONAL OR HEALTH :ARE FACIUT�ES <br /> � BE APPROVED BY THE STATE OF WASHINCTOY. APPLICANTS WITH SUCH JO85 MUST SHOW THE STATE APPRQVED PLANS BEFORE A <br /> �� ��� � CITY OF EVERETT PERMIT NILL BE ISSUED. <br /> � � � NOIE: WIRIM1G IN NON-DWELLINGS IS REOUIRED TO BE IN CONDUIT. <br /> ,,�. _ <br /> �' i <br /> ; �'��y-����- I HEREBY CERTIPY THAT I HAVE READ AND EXAMINED THIS <br /> � � APPUCATION AND KNOW THE SAME TO BE TRUE AND COHRECT.ALL <br /> � -�'��-;� �-� � PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLETED WITH WHEI'HEH SPECIFIED HEREIN OR <br /> NOT. THE GHANTING OF A PERMIT OOES NOT PFESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHEH STATE OP LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE �O � <br /> OWNEH OF THIS PROPERTY TO PERFORM THE WORN FOR WHICH FEE <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1827 flCW AND 296200 WAC. <br /> X 8 �i S'� <br /> S ature Date <br />