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� .,�_ i .� <br /> e� ' . , <br /> APPLICATiON FOR ELECTRICAL PERMIT <br /> y H CITY OF EVERETT ' <br /> m�� 3200 CmAR'STREET <br /> p..a�x , EVERETT� NA 98201 <br /> y�N 259-8810 <br /> r �1���5��� , 'Y� d g�//� C ��. ��'�/� ll�,�z�� l <br /> � y� �Sw�'�' M i Atldress ��it�tatei ip 'hone <br /> � H`� <br /> V!H�+ <br /> xx 3 enant Mai ddress ity tate ip hone <br /> tl, �� �� G� • <br /> � �8� 1�1� �T�tnca ontractor Ma� tldress ity�tate Zip � hone $tate Cicense F�r— <br /> x9y� � `�PS��P/7n � <br /> r H y ontract n ce o or rop�ed Use a ui ding <br /> gd� �SD� �e-21��� �- �. , �/�Q/�� (,�i�- g�� � . <br /> Cr �ro�ect Adtlress / <br /> � ��7 M <br /> ' / ,C'/ �'7 O x ) _P_�� � C�c� 7�i �X�. <br /> y p y Discription of Work To Be Done: �.� / <br /> I/ <br /> 'w� <br /> �� <br /> � <br /> I � I NOTE: WAC 296-46-140 REOUIRES THAT PLANS FOR ELECTRICAL WORK AT EUUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCN JO85 MUST SHOW THE STATE APPROVED PLANS BEFORE A <br /> � ,CITY OF EVERETT PERMIT WILL BE ISSUED. <br /> � � '� NOTE: WIRING IN NON-DWELLINGS IS REOUIRED TO BE IN CONDUIT. <br /> �� <br /> (� I HEREBY CERTIFY THAT I HAVE READ AND� EXAMINED TH�S <br /> APPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECt ALL f <br /> � � PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF � <br /> WORK WILL BE COMPLEfED WITH WHETHER SPECIFIEC HEREIN OR � <br /> NOT. THE GFANTING OF A PERMIT �OES NOT PRESUME TO GIVE <br /> '� � AUTHOFITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> � OTHEfl STATE OR LOCAL L1W FEGULATING CONSTRUCTION OR iHE <br /> PERFORMANCE Of CONSTRUCTION.THAT I AM AUTHORRED BY THE �� <br /> OWNER OF THIS PROPERN TO PERFOFM THE WORK FOR WHICH FEE ?� <br /> '.� APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> �� CONTRACTOflS lAW 18.27 RCW AND 296.200 WAC. <br /> � 3 �3� <br /> . , , x _ �_ 1�.L ��-���a < <br /> �gn u e �ate <br />