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�'}u:l�' � . <br /> r � <br /> ^ } <br /> ���� J;,..•.-.. cvw,xs� . <br /> G � . � ' - , , � � . . � . .. ... ._�rr�iiy. <br /> i <br /> ��� <br /> ��� APPLICATI� FOR ELECTRICAL P'�"�RMIT <br /> ��� <br /> � <br /> M <br /> CIT'OF <br /> �� everett <br /> M 9UILDING DEPARTMENT <br /> y�r 259•8910 <br /> �p <br /> ��� �G � � <br /> ,��'�' � er ai OEress ty ip hone + <br /> — ���,Zti �uwr�� 3 �n i �r�unr��/ �wr r_ur-�Y.�� rsz�� <br /> �ant ai �Cddress �ty p ane <br /> � ectr ca ontraetor a ross ty p e��y.7 icense <br /> i <br /> wf��iN i V �c�c- 'o�s r�u�r�/c i�v,%�-v ; ��, ����,u.L S��9c� <br /> ontract r ce Wor ropose se o �ui� ng <br /> ro ect Eress <br /> 3�o� /-����a-�i �-�•�` <br /> 6iscnptioT n�Work o e one: � <br /> /,c�/ /L � DT .� G� wiT � <br /> ��' in-. ,�i� P�VicL , h'��/� '��1i�-6�c <br /> � � <br /> ', t /o /-�� �/�[L/-�TjS <br /> , C�� � � _ I <br /> ' � NOTE: MAC 296-46-740 REOUIRES THAT PLANS FOR ELECTP,ICAL MORK AT EDUGTIONAL, INSTITUTIONAL OR HEALTH I:ARE fACILITiES <br /> � '� BE APPROVED BY THE STATE OF WASHINGTON. APPLIGNTS WITH SUCH JOBS YUST SHOM THE STATE APPROVED PLANS BEFORE A i <br /> � CITY OF EVERETT PERMIT WILL BE ISSUED, <br /> " I �� - � NOTE: WIRING IN NON-DMELLINCS IS REOUIRED TO BE IN METAL RACEWAYS. � <br /> N <br /> I I <br /> � <br /> i � � <br /> I �� I HEfiEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS I <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECL ALL ; <br /> - ' PROVISIONS OF LAWS AND OROINANCES GOVERNING THIS NPE OF ; <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR � <br /> � 1��j� � NOL TFiE ORANTING Of A PERMIT DOES NOT PRESUME TO GIVE � <br /> ���� � AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> ' � OTHER STATE OR LOCAL U1W REGULATING CONSTRUCTION OR THE <br /> I � PERFOHMANCE OF CONStRUCTION.THAT I AM AUTHORIZED BV THE � �= I <br /> OWNER OF THIS PROPERTY TO PERFOHM THE WORK FOR WHICH FEE � � <br /> � �� � APPLICATION IS MADE AND 1 COMPLY WITH THE STATE i <br />� � � CONTRACTORS LAW 1827 RCW AND 296200 WAC. � <br /> . X � � _z�_ Z <br />� ign ture Dete '�. <br /> :��/"J� <br /> ��� � <br /> y,�w: , <br /> �I <br /> � <br />