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-v, <br />� <br />APPLICATION FOR ELECTRICAL NERMIT <br />an cF <br />evere#t <br />BUI�DING DEPARTMENT <br />259-8810 <br />�i! g� l.l-i� (? /�-2 <br />�G�(�C� <br />o ��e <br />.��� � ��KnuJc� � C�J �� -+ <br />Cdres � ��'yi�r� <br />� sr.s �- <br />P <br />3._� - J� �/ <br />j�S 7�03 <br />/y33 <br />�/ <br />scr Dt on o or o e one: <br />uiire /— tc.�� Rcs �.�i��i �to��h' � <br />rra/'. <br />NOTE: MAC 296-46-140 REOUIRES THAT PUNS FOR ELECTRICAL WORK AT EDUGTIONAL� INSTITUTIONAI OR HEALTH CARE FACIIITIES <br />BE APPROVED BY THE STATE OF NASHINGTON. APPLIGNTS MITH SUCIi JO05 NUST SHOM TME STATE APPROVED PlANS BEFORE A <br />CITY OF EVERETT PERM�T t11LL BE ISSUED. <br />: t10iE: MIRING IN NON-DMEILINCS IS REOUIRED TO OE IN METAL RACEW�YS. <br />I HEREBV CERTIFY THAT I HAVE fiEAD AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF V+WS ANO OROINANCES GOVERNING THIS TYPE OF <br />WORK Wlll BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE dRANT�N4 OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAI LAW REGUTATING CONSIRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AU7HOHI2ED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICII <br />APPLICATION IS MADE AND I COMP�Y WiTH THE STATE <br />CONTRACMRS LAW 18.27 RCW AND 296200 WAC. <br />� '/ J i <br />X C� 1% � 1//� e? <br />Signature Date <br />FEE / �J <br />� J�a o�--- <br />