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� <br /> NiV' <br /> �TA�Y� M�� <br /> f, <br /> ���� � , <br /> � �, 9 � .�����+�� � <br /> ; .��� . . � <br /> ; <br /> �� APPLICATION FOR ELECTRICAL PERMIT <br /> ��� ; <br /> ���M -' ^.ITVCF <br /> : evere#� - . <br /> y BUILDING DEPARTMENT <br /> � M 259-8810 <br /> � <br /> ���a . <br /> � ,�o � � n_ �1Nc SE �t�o�vush 1.�.�- �?iS�G 0 SLo ��1.iU G <br /> �PI 1�l� l (SYI�t' hane <br /> _ . ; ��'� Mai Edress tY P <br /> � enant ai d ress �ty ip hone � <br /> i"nikkA 1_�le�t�lC�_P.0 &�K ld�� t�n�.�ood 4�0�`�_�;�0 3$�,t�,����r��=Z�� <br /> � � ectr ca ontractor —Rai1 d ress��Y �P <br /> � Cil— � <br /> ontract r ee o or ropose sc o u� ng <br />' ; �c�o�� �11J�`Mh�CU <br /> i <br />� �� j ro�ect EGrcss � <br /> � <br /> � <br />� � Jiscnp����Vork o e onr. - � <br /> .-:;,� � _���-�� nl�l �e rY1c-e �'Q,r l�P � �ri'� Se,rV tc�e <br /> � �i 1 � 1 0,^ �� , ��-�.�.�h rx,.r e.l — i <br /> ` r � <br /> t, C'; - ! <br /> , ; :�� <br />�� � � � NOTE: WAC 296-46-140 REOUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES ( <br /> S BE APPROVED BY THE STATE OF WAiHINCTON, r1PP�ICANTS WITH SUCH JOBS NUST SHO'H THE STATE APPROVED PLANS BEFORE A <br />�� � ��� � GTY OF EVERETT PERMIT WILL BE ISSUED. <br /> 710TE: WIRING IN NON-DWELLINGS IS REOUIRED TO BE IN METAL RACEWAYS. � <br /> I <br /> ... ; I <br /> '._ � i <br /> ,'k t . I <br /> : .,5 ��� �i <br />. �E���' � 1 HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> i@'t'�1 APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL i <br /> "! ��. PROVISIONS OF LAY7S AND ORDINANCES GOVERNING THIS TYPE OF il <br /> I WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEHEIN OR <br /> NOT. TH[ GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE I <br /> � AUTHOFITY TO VIOIATE OR CANCEL THE PROVISIONS OF ANY <br /> �� PERFORMANCE OF ONS RUCTION.`TH TG AM AUTHORIZED BY HE <br /> . _ 1 OWNEF OF THIS PFOPEFiTY TO PERFORM THE WOFK FOR WHICH FEE ��O I <br /> �r APPLICATION IS MADE AND I COMPLY WITH THE STATE � <br /> � CONTRACTORS LAW 1827 RCW AND 296.200 WAC. , <br /> X ��/�n —�— . i <br /> �� y � <br /> Signatu Date I <br /> 3 � <br /> ����n . ' <br /> � <br /> � <br /> ; <br /> I <br />