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APPL1CATl�N FOR ELECTRICAL-?ERMIT <br /> . <br /> ciTr oF ���Err <br /> BUILDINC RIVISION <br /> 3200 CmAk STREET <br /> ' ' EYERETT, KA 98201 <br /> 259-8810 <br /> 'c,cFi,Q s i �. ��0 33 S�r.� c��• 7�i z� 358 i�zz� <br /> �ci Mail qddre.,s ity tate ip Phone <br /> �,=,��.r, � �. � FCIF/'�/����/l ��� L'1��,� 98zu3 Z� �77�� <br /> enan Mail Addr s �— ity tate ip hone <br /> �' �0 3�-S z.`� ��r=,.an/G l�rJ.a !�'�/3� 3E��37C n l'�r�r j���8ss <br /> ectrica Contrr.�,.or Mail Address ity tate Iip Phone ta—te License No. <br /> /• � �j . _ • • <br /> =1�' /G � • ��sT,� ' A,�,�. <br /> mtrac" �'�" of Work _ Pro osed Use Building <br /> '��v/9 EUE/'-��.�EC'�tl GtJ�y/ . <br /> �r,-�ect Atl ress . . ' <br /> � � / • � <br /> iscription �f Wsrk io Be Dort�� �--�d �1f/��/7% � �//�'-�/�(j� <br /> r <br /> .�Z���'�t.� �' /���%�� � io/�4 %r �.� D ���� <br /> i <br /> IOTE: Wi�C 296-46-740 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> 8E APPROVED BY THE STATE OF WASHINCTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE APPROVED PLANS 3EFORE A <br /> ,CITY OF EVERETT PERMIT WILL 9E ISSUED. � , <br /> IOTE: WIRINC IN NON-DWELLINGS IS REOUIRED TO BE IN CONDUIT. <br /> I HERE9Y CERTIFY THAT I HAVE READ ANO' EXAMINED THIS <br /> APPLJCAT70N AND KNOW THE SAME TO BE TRUE AND COfiRECT.ALL <br /> PFOVISIONS OF LAWS AND ORDINANCES GOVEANING THIS TYPE OF <br /> WOFK WILL BE COMPLETED WRii WHE7HEA SPECIFIED HEREIN OR <br /> NOT. THE GFANTING OF A PERMIT DOES NOT PflESUME TO GIVE <br /> �UTHOFITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHEA 57ATE OR LOCAL lAW REGULATING C9NSTAUCTION OR THE <br /> PEaFORMANCE OF CONSTRUCTION.Th'AT I AM AUTHORIZED BY THE /' /n �_ <br /> OWNEA OF THIS PflOPERTY TO PEPFOFM THE WORK FOF WHICH FEc _ r i I��L__ <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> � �i <br /> X .l�/L-G//��!��` �-- . <br /> Signature Oate <br /> � <br /> � 0 — � 9Gy <br /> �o� �. <br />