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" ' � I.► o .. . . . .. . . �. .. . . . . . . . .. . . .. -.. . ... . . .,. .. . .. . .. . . . . . . . .. <br />' ' APPLIGNTION FOR ELECTRICHL PERMIT <br />��� <br />k��x <br />>�3C�A <br />y�3 <br />� H� <br />"�.0 H �+] <br />i/J H <br />� O tT1 <br />HC <br />��g <br />(,� V CG] <br />rHy <br />� <br />H <br />Ci d �n <br />��r <br />zyti <br />H O V� <br />Cftt OF <br />everett <br />BUILDING DEPAFiTMENT <br />259•8810 <br />� 1,,;,�/ <br />n <br />enant ai ress ity p hono <br />�i. re� City np rnone�� `, <br />, <br />✓i� '-1:�1 Il 9��rti' ��� f"�/i ^/rr'll':; �',�:10� <br />� ropose se o uiTd n� <br />. x�R s. � �� <br />, <br />,�. <br />�,� lL�,.2� � ; f ' /T-i� <br />. / <br />i <br />l/l ,'I . <br />� <br />� <br />�,� O <br />NOTE: WAC 296-46-140 REOU�RES TFU�T PIANS FOR ELECTRICI+L WORK AT EDUCATIONAL� INSTITUTIONAL OR HFALTH CARE FACILITIE: <br />� BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS NUST SHON THE STATE APPROVED PLANS BEFORE I <br />CITY OF EVERETT PERMIT WILL BE ISSUED. � <br />NOTE: WIRINC IN NOH-DWELLINGS IS REQUIRED TO BE IN METAL RACEWAYS. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS RND ORDINANCES GOVER4ING 7HiS TYPE OF <br />`NORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER °TATE OR LOCAL LAW REGUTA7ING CONSTflUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM RUTHGRIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION �IS MhDE AND I COMPLY WITH THE STATE <br />CONTRACTORS IAW 18.27 RCW AND 296200 WAC. <br />�� <br />� i i' <br />�X i/- <br />C/C �l l�� �.: -�!'� <br />� <br />/'i/, �. <br />Signature - �/ Date <br />� c- <br />FEE �-�'� � � <br />