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, _ :� ` <br /> i <br /> APPLICATiI�"V FOR ELECTRICAL �"~RMIT <br /> . <br /> � � CITY OF <br /> a�� ever <br /> e#t <br /> y� BUILDING DEPARTMENT <br /> y�� 259-8810 n / <br /> � V <br /> �e 'J <br /> ��� �/ // C / . 7� /"� �I ? �l J I-w I/n, /�Y. �LI/t-v� <br /> /9 !h GhJ ���c� !!n� ,C.4 4 <br /> �?p; ner a Atlre� , _i l. ty � p hone <br /> H C �- � ? � �Q �—a o.✓ rv�.l.� �it/i '1 � Z— z 3` `L <br /> �N J� � ai ddress ty p h n <br /> g ��a�c vJr- ��i z <br /> cwc� s � � �� ?_>.'Zf - n.� �i� �� L,/i �y-'2 � J�GwSL /G/� <br /> r � i <br /> � one ieeme x <br /> �„� ecfr ca ontractor a a ress ��ty 0 / <br /> C+ y �.�d lZ' S7�o/fi7��-t �"o/% J^o <br /> N LonCract r ce o Nor � ro/po'se se o ui C ng � <br /> G0 ? �� �J ;:./' ( '�!/' /J .� /J I/Rd ��/� <br /> �CA n �l C� �C �To /1-t�l �L /iC/ � r c IA / /✓ C. -J�/l�:•cTlu. (�Lr� i+,� <br /> L J <br /> r �ro ect eress <br /> O(F j � r� SA��.� Lf L i-�+� /�..�/J r�.��!�S ;�7�vn-- Me �.C, <br /> DU .4 � F� <br /> iscr p[ion o Work o e one: <br /> f ��' � � i S /l�� i_e �/�J ��' Gr>-�J{.cno�... <br /> ��C/R /) S!�/I/�YP I'/��M O��ic� O�f� <br /> � <br /> 1 C� . <br /> NOTE: MAC 296-46-I40 REOUIRES THl1T PLANS FOR ELECTRICAL MORK AT EDUCATIONAL, INSTITUTIONAL OR NEaLTH CARE FACILITIES � <br /> I __ BE APPROYED BY THE STATE OF NASHINGTON. APPLICANTS MITH SUCH JOBS MUST SHOM THE STATE APPROVED PLANS BEfORE A <br /> I • CITY OF EVERETT PERMIT NILL 8E ISSUED. <br /> NOTE: MIRING IN NON-UWELLINGS IS REOUIRED TO BE IN HETAL RACEWAYS. <br /> � _� � ~ , �0�� <br /> 1 HEREBY CERTIFY THAT I HAVE RE!'•D AND EXAMINED THIS ��� <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND COflRECT.ALL <br /> PROVISIONS OF UWS AND OROINANCES GOVERNING THIS NPE OF <br /> ��' WORK WILL BE COMPLETED WITH WHETHEfl SPECIFIED HEPEIN OR <br /> NOT. THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE <br /> � AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> OTHFR STATE OR LOCAL U1W REGULATING CONSTRUCTION OR 1HE �7 <br /> �t�. OWNER OFNTHIS PROPERTV TO PERFORM THE WORK1FOR WHICH FEE � / � <br /> APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> - � CONTRACTORS LAW 18.27 RCW AND 296.200 JJAC. <br /> Q,� , � <br /> X �/ /� - �� �i,�/ <br /> // � ,�--�v', <br /> i Date <br /> ,/SignaG���.. <br />