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.. <br /> _ �� <br /> h � <br /> r � f <br /> S,' � . � <br /> w � <br /> r��� . <br /> � �� ' <br /> ��� � ��,�t.�..., ._ _ . <br /> � _ a � , <br /> ��� F5 ' APPLI�TION FOR ELECTRIt�►L PERMIT ' ' <br /> �'" � � . . . � � <br /> �� . <br /> �� everett <br /> �,y BUILDING DEPARTMENT � <br /> ta 259-8810 <br /> � <br /> �� n ,� � -r�- �' <br /> ��° �D�7 ,�D ulI'I e � �J%a.3 !'/'/CYIc� ��¢r`e/� <br /> --- � � er a resa p � one � <br /> /V�/�� , <br /> , enant a ross Ty p one i <br /> aH f!�r �/eJr�� 3 yab- L���fb/.l�/�,rGl�,n 9�a6 �:�s�»s9 h�DU✓,��o9/ov � <br /> ec r ca Con ractor rees ty � p one cenae � � <br /> Sin c%P �#�»�S< /��¢5 <br /> n ract r ee o or �ropose o u ng <br /> y�� �_�Y`L�4 � . <br /> ' rro�ecc naares� <br /> � scnpt on o or o "�one: <br /> ; U� 9 h�t y' � �5' e r Vi cr� T �2 00 4m .o <br /> ;� <br /> III ., �i �. <br /> I �` f <br /> r � <br /> �� " <br /> 1 ' <br />� � ' NOTE: MAC 296-46-140 REOUIRES THAT PLANS FOR ELECTRIGL MORK AT EDUGTIONAL, INSTITUTIONAL OR HEALTH GRE FACILITIE: <br />; i. ,_�� . 8E APPROVED BY THE STATE OF MASHIN,TON. APPLICANTS MITH SUCH JO85 MUST SHOM THE STATE APpROVED PLANS BEFORE I <br /> ` CITY OF EVERETT PERMIT MILL BE IS�UED. <br /> . NOTE: XIRINC IN NON-DMELLINGS IS REQUIR:D TO BE IN METAL �.4CEMAYS. <br /> � ��� <br /> i 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICFTION AND KNOW THE SAME TO BE'(RUE AND CORRECT.ALL <br /> PROVISIONS OP UWS AND ORDINANCES CiOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLEfED WITH WHETHER SPECIFIED HEREIN OR <br /> i ' �� � NOL THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> � �, AUTHORITY TO VIOLATE OR CANCEL THc PflOVISIONS OF ANY <br /> I OTHER STATE OR LOCAL UW REGULATING CONSTAUCTION OR THE <br /> '� � PERFORMANCE OF CONSTRUCTION.THAT I PM AUTHORI2ED BY THE �� <br /> OWNER OF THIS PROPERTY TO PERFORM Th:E WORK FOR WHICH FEE — <br /> APPLICATION -IS MADE AND I COMPLY Y:ITM THE STATE <br /> ___ : CONTRACTORS LAW 1827 RCW AND 296200 WAC. I <br /> � <br /> X �• <br /> � <br />� , � - -rx},�r;.-���� � ignature Date I <br /> . - �. I <br /> y :� �� <br /> � rw � <br /> i <br /> I '� �� ��'_� . I. <br /> 1 <br /> �j �� �51 <br /> r��, , 3� <br /> �y . ..i.�.,.:. . . <br /> ^r i <br />