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; <br /> ` APPLICATI�N FOR ELECTRICAL FtRMIT <br /> �' ,. <br /> vere#� <br /> ; 3UILDING DEPARTMENT • <br /> 59-8810 ' <br /> � , R <br /> i G <br /> ' �ir� �,} ,cv.E,CET .3a� C z���Q 9��v� - �s�-��a0 <br /> lnner Ma dtlress ity ip hone � <br /> ,enant ai tldross ity ip . none ' <br /> = eetric onLraetor a� tl ress ty �p hone �eense�— <br /> .ontract �e o Mor _� roposec Use o ui ding ' <br /> 5��� <br /> �r�t ndd�L �� � � , <br /> l (�, c � �,�.C"/i`1�Cs- �T � <br /> ' =iscripnon o Work e e one: c <br /> b <br /> �nl ' �07- �/ 4 N��C� .����C T.�/_C __ ' <br /> �-1,2U/c� � <br /> � 29/f �=u �,�� � E <br /> � <br /> 'IOTE: WAC 296-46-140 REOUIRES THAT FLANS FOR ELECTRICAL WORK AT EDUGTIONAL� INSTITUTIONAI OR HEALTH CARE FACIL�TIES � <br /> BE APPROVED BY iHE STATE OF YIASHINGTON. APPLICANTS MITH SUCH JOBS MUST SHON THE STATE MPROVED PLANS BEFORE A '� <br /> CITY OF EVERETT PERMIi WILL BE ISSUED. <br /> M <br /> � 'IOTE: WIRING IN NJN-DWELLIN�S IS REOUIRED TO 6E IN METhL RACEWAYS. � <br /> 6 <br /> 1 HEFEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS t� <br /> � APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL � <br /> PROVISIONS OF U1WS ANO ORDINANCES GOVERNING THIS TYPE OF <br /> WOFK WILL BE COM,PLEfED WITH WHETHER SPECIFIED HEREIN OR t <br /> NOT. THE GRANTING OF A PERMIT OCES NOT PRESUME TO GIVE . <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTAUCTION OR THE � <br /> ! <br /> PERFORMANCF OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE //� S'� ' <br /> OWNER OF ThIIS PROPERTY TO PERFOFM THE WOFK FOR WHICH FEE <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE . ' <br /> CONTRACTORS LAW 18.27 RCW AND 296200 WAC. � <br /> , E <br /> X �� - - � � � <br /> Signaiure Oate <br /> J� � �S' <br />