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b APPL►"ATION FOR ELECTRF AL PERMIT <br />IY FjN <br />n CRY OF <br />everett <br />In In BUILDING DEPARTMENT <br />259.8810 <br />o � <br />y a ;U r. N,;., 3y3u de�� 9✓c. E2lcx 9�7�� ZJ 657 <br />W ner mai 1 Address City 41P Fhone <br />j e in (oSy-S33S <br />Tenant Mail dress City p one <br />C. <br />i <br />J� ✓iva 6zct4c. S '3J 6r 7—�P, ,U.L. 7%'.pLS I, 9E270 klIAt-�991�C <br />ectn ca ontractor ai ress amity Fhone License <br />ontract Price of WorkProposed Use of Building <br />3V9,/ FcJ Avt u%6tE%! <br />roJect ddress <br />20o A r r!D evict <br />15iscription o or o e one: <br />768 S, 1(-y- Add, 'Jion <br />1 New <br />= NOTE: WAC 296-46-140 REQUIRES THAT PUNS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIEI <br />BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE APPROVED PLANS BEFORE <br />CITY OF EVERETT PERMIT WILL BE ISSUED. <br />_ _ NOTE: WIRING IN NOA-DWELLINGS IS REQUIRED TO BE IN METAL RACEWAYS. <br />�_ <br />I HEREBY CERTIFY':HAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAMr TO BE TRUE AND CORRECT. ALL <br />�1 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF . <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO .31VE <br />AUTHORITY TO VIOLATE Oi CANCEL THE PROVISIONS OF ANY <br />!r` OTHER STATE OP `CAL LAW REGULATING CONSTRUCTION OR THE <br />I PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE 00 <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH FEE `.LJ <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />x%L� -P 6.1&'. Z2 <br />S;�` Date <br />3 /()c1z, <br />