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,� � APPLICA��JN FOR ELEC�TRICAL"''�ERMIT <br /> s <br /> � �� � � � r� on � � : <br /> ;ITY CF <br /> b � everett ; �u� - 7 �sss <br /> y� � ' BUILDING DEPARTMENT <br /> zss-ae�o CITY OF �EVERETT <br /> �°H� Public Works Dept. <br /> �y'��"tl ^ ,� , �,,�, �^ V �P� � ,,_,�� �ao2 �o-�t.2�lo�c1�- �.v-enQ�t �2�3 3u� �3a3� <br /> � x 6d , u U I/1�J1�I (S�� Vl �'EJ 'da�s5� � �r Y Ni o � r <br /> OQhJC ner �(�/��.�.�� � �Uli`r �:.L�ii I�i,..': <br /> Q(��y Y-'U1� � UL ione <br /> [q O enant � <br /> Y " � Ilo3oS5lc�.��Q,�-e 'l�� I(-in.Klam'� q`�a3U 823 �y�1 y <br /> ��� `��,�n � In� lmC ��--z�-- o�< « ,� , <br /> �y � ettr ca_, ontractor a� d ress Y - <br /> M Vi' i oU �ov : <br /> �� �� ropose se o 6�T�i �l g <br /> �„� ontract r ce o or <br /> fA <br /> ��� ro ect dress _ <br /> - ser pt an o �ar o e one: �� � O �� <br /> CCII Lni{/I�' �°X.1� � �.Ll — <br /> � � <br /> ':� � <br /> I ��. <br /> � <br /> � C, tIOTE: BECpPPROVED�BY TNEUSTATETOFTWASHNNCTON.ELAPPLICANTSOMITHTSUCICJOOSNMUSTISf10HTTHE STATERAPPROVEDCPlRN5A0EFOREEA <br /> CITY OF EVERETT PERHIT XILI BE ISSUED. <br /> I �� . � IIOTE: NIRING IN NON-DWELlINGS IS REOUIRED TO OE IN NETAL RACEWAYS. <br /> � I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS <br /> �I I I�i. ' APPLICATION AND KNOW THE SAME TO BE iflUE bN0 CORRECL ALL <br /> ����� PROVISIONS OF LAWS AND OROINANCES GOVERNING THIS NPE OF <br /> WORK WILL BE COMPLETED W�TH 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 /> U�� � O7HER STATE OR LGCAL LAW REGUVUING CONSTRUCTION OR THE <br /> PEPFOHMANCE OF CONS7RUCTION.THAT I AM AUTHORIZED BY THE r�F •Df1 <br /> - � � APPIICAT�ON'SSRMADE ANtlPE COMPLY WITOHKTHE STATE FEE <br /> "J v <br /> ' ' CONTRACTORS LAW 18.27 RCW AN�296200 WAC. , <br /> � X ��h �� ����93 <br /> . Signature Date <br /> . � �I ti�3 . <br />