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P�� APPLICAT��N FOR ELECTRICAL rERMIT <br /> � � cin oF �v�arrr <br /> / uui�ninc oivistoN <br /> H (��r`���� 3200 CmAR STREEf <br /> '( F/ERETT, MA 98207 <br /> 9�C <br /> � 259•88f0 <br /> K � ; ,f� voc.(� evu�T uc��v( cU s-3o� �39 �.rv� sc-- s,r/o �d��a <br /> "��M"�� ner Mai Add�ess ity tate �p S-�.r13��Z^e <br /> NH <br /> � �� � <br /> l7 enant s�� Mai ddress ity tate ip hone <br /> p�� qefl - 7ZiG NG v 16�� li1 A�YSU/[Ga WA- 1�9Z7c� (a S3 y}��) Qc17oL I3tz .)� <br /> � H � E�ctn ca ontrac[or ai ddjess ity tate ip hone tate icense o. <br /> r y S��`. <br /> �..� y �DOc7 raposed se o ui ding <br /> l7(/� ontract rice o ork , <br /> O N <br /> f�C[A /�-� <br /> � �M y0�� ��WJd� <br /> � fyU ro�ect ddress <br /> � `"2 �D Mtil� <br /> Discription of Work To Be Done: /� s�`�' <br /> � <br /> 1 <br /> I �� <br /> i <br /> ! �� NOTE: WAC 296-46-140 REOUIRES THAT PIANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACIIITIES <br /> - � BE APPROVEU BY THE STATE OF WASHINGTON. APP:ICANTS WITH SUCH JOBS MUST SNOW THE STATE APPROVED PLANS BEFORE A <br /> CITY OF EVERETT PERNIT WILL BE ISSUED. . <br /> i �� NOTE: WIRING IN NON-DWELLINCS IS REpUIRED TO BE IN CONUUIT. <br /> ' I HEREBY CEflTIFY THAT I HAVE READ AND' EXAMINED THIS <br /> -,_1 APPLICATION AND KNO1Y THE SAME TO BE TRUE AND CORRECT.ALL <br /> �� PROVISIONS OF LAWS AND ORDINANCES GOVERNING hIIS Tl'FE OF <br /> NOT. THE`GRAN'f�NG OF ADPE MIT D ESENOT PflESUME TO GNE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> _� OTHER STATE OR LOCAL LAW REGUTATING CONSTRUCTION OR THE <br /> PERFORAIANCE OF CONSTAUCTION.THAT I AM AUTHOFIZED BY THE /� <br /> � AOppLICAOTIONISISRMAOE ANOPE COMPLY WITOHKTHE STATE FEE ��J ! <br /> CONTRACTOFS LAW 1827 RCW AND 296.200 WAC. <br /> X G� ���� 3-z-�3 <br /> Signature Oate <br />