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, � � !.- <br /> � APPLICATI�. � FOR ELECTfiICAL P�..�MIT <br /> � <br /> ��' everett <br /> �p�x BUILDINGDEPARTMENT <br /> y H� ?59-8810 <br /> H �3 <br /> y zH <br /> K y� �. <br /> � H� ���� - �I o� -K�tiv — �v�v� <br /> y �� n r Ha�l AOdress �ty Zip hone <br /> � y�G en�f'_ 1 Mai tleress ��ty ip hone <br /> i i- <br /> � �g 0 •'• � G 0�� l4(0�° SI.� ( �IYiV! GkCI� ��14-(DLPi � <br /> N Ci1 <br /> �„ n ectr ca lo�Kractor Mat ddress � ty �p hone �cen,e + <br /> �f � � SFM1� <br /> � y� lontr��ice o Nor roposed �e o uiT�ng <br /> g y y �1��4 Fc�wl�r� <br /> n d� ro� t AtlOress <br /> � �r �rv M���' �1awrGr�d �farrc tr� wivih�i• b�l ftall-ev� �c� <br /> x yN �cn tion oi 'xork o c U��ne: <br /> H O!/� <br /> � <br /> � <br /> �� <br /> NOTE: WAC 296-46-140 REOUIRES THAT P'...�NS FOR ELECTRICAL WORK AT EDUCATIOt7AL� INSTITUTIOt1AL OR HEALTH GRE FACILITIES <br /> '�,�' BE APP(iOVED BY THE STATE OF WASHIt7GTON. APPLICANTS NITH SUCH JOBS HUST SHO'A THE STATE �iPPROVED PLANS OEFORE A <br /> CITY OF EVERETT PERMIT 'dILL BE ISSUED. <br /> � NOTE: 'AIRINC IN NON-UWELLiIlGS IS REOUIRED TO BE IN METAL RACE'dAYS. <br /> n <br /> � 1 <br /> '"� ' ^l'� J`�l <br /> I HEREBY CEflT�FY THAT i HAVE READ AND E%AMINED THIS ''1 ji" <br /> h�PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALl / <br /> {_' � Pi70V151CNS Or LAWS AND OFDINANCES GOVERNING THIS TYPE OF ' <br /> \YORK WILL BE CG1.IPLETEfi�'lITH WHETHER SPECIFIED IiEREIN OR <br /> NOT, THE GRANTING UF h P�F?I.�IT OOES NOT PRESLIME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> �`"C ' OTHER STATE OR LOCAL LAW REGULATING CONSTFIUCTION OR T4E <br /> }..� pEflFORMANCE OF CO4J'l RUGTION.THAT I Ah1 AUTHORIZED BY THE <br /> pWNER OF THIS PHOPEATY �i0 PERFORM THE WGRK FOR WHICH FEE ,��. <br /> APPL�CATION IS MADE AND I COMPIY WITH THE STATE <br /> `'' CONTRACTORS LhW 18.27 RCY/AND 296200 WAC. <br /> . X!�L�'-� . <br /> � � Date <br /> Signature <br />