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� APPLICA'� ,�N FOR ELECTRICAE_ PERMIT <br /> CRY OF � <br /> everett <br /> BUILDING DEPARTMENT � <br /> 259-8810 / <br /> � �r�� �'�Oti-�iS � ��0�� <br /> �eve Goe T-c (dsv�,� /✓1 h K.L ) v �J &z9t` �i SS— 2&-42 <br /> �ner .ai ress ty t�p �hone <br /> enant ai C ress ty p one <br /> �J <br /> �/1�r4 t-Ls� ?,Q�a �'� ' �SFc'- S�?vb <br /> ��ecsrica �ontractor ai ress ty �� one icense <br /> !LD,e�a� Si / Fi..� I /7 . / ) C <br /> Lontra�r�ce o or . Prop�ded Uae of Building <br /> y73�7 ����vwurr � ' ' . <br /> Froject aaresa <br /> � %r..._�� I10w+K /�v� 7kT�o�.✓ <br /> i�iption o o ne: � <br /> NOTE: WAC 296-46-140 REOUIRES'TFiAT PLANS FOR ELECTRIGL MORK AT EDUGTIONAL, INSTITUTIONAL OR HEALiH CARE FAC�LITIES <br /> BE APPROVED BY THE STATE OF MASHINCTON. APPLIUWTS MITH SUCH JOBS MUST SHOM THE STATe APPROVED pLANS BEFORE A <br /> CITY OF EVERETT PERMIT MILL BE ISSUED, <br /> NOTE: MIRINC IN NON-DMELlINCS IS REQUIRED TO BE IN METAL� RIICEWAYS. - <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF UWS ANO ORDINANCES GOVERNING THIS TYPE OF � � <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR � <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOUTE OR CANCEL THE PROVISIONS OF ANY � <br /> OTHER STATE OR LOCAI LAW REGULATING CONSTRUCTION OR THE / <br /> PERFORMANCE OF CON5TAUCTION.THAT I AM AUTHORIZED BY THE . �S <br /> OWNER OF THIS PROPERTY TO PEFFORM THE WORK FOR WHICH FEE <br /> APPLICATION �IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AN�296200 V;AC. <br /> X 7- i�3 �5Z �� 35 / <br /> Signature � Date <br />