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APPLICATION FOR ELECTRICAL PERMIT �� <br /> . <br /> CITY OF EVEREfT <br /> BIIILDING DIYISION <br /> 3200 CmAR STREET <br /> EVERETT� IIA 98201 <br /> 259-8810 <br /> d 'L 8 ��f'/ 6 UE,eE�� L 5"Z- �E3 > <br /> �O� DU.� p� � ;t tate p hone <br /> ner <br /> ai ddress Y <br /> � �ty tate ip hone <br /> enant ai ddress <br /> 668 ���f6 <br /> eTi! ' 4 O /S".f� " G ' - <br /> ,L��L GS _ �L �� �t tate ip one � tate icense o. . <br /> ectrica ontractor ai d ress Y <br /> roposed se o ui ding <br /> ontract r ce o or <br /> �Or3� � <br /> ro�ect dress <br /> G'T.�,!'� �' ��ie' fi�G� �` <br /> Discription of Work To Be Done: � ��/1l�� ''�' <br /> � <br /> NOTE: BECAPPROVED,BY THEUSTATETOFTWASHNNCTON.ELAPPLI ANTS�WITHTSUCHCJO SNMUSTISHOWTTHE STATERAPPROVEDCPLANSABEFOREEA <br /> CITY OF EVERETT PERMIT WILL BE ISSUED. <br /> NOTE: WIRING IN NON-DWELLINGS IS REOUIRED TO BE IN CONOUIT. <br /> I HEREBY CERTIFY THAT I HAVE READ AND' EXAMINED THIS <br /> APPLJCATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> WOFlKSWILL BEFCOMPLETED WIOTIHAWHE'iH RVSP CNFlED HEREIN OH <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHOHITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGUIl�TING CONSTRUCTION OR THE l� <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHOFIZED BY THE ��7 <br /> �PPLICATIONISISRMADE ANDPERCOMP Y WITOHKT ER STATE FEE 7�� <br /> CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> � � � 9 <br /> Date <br /> Signature <br /> ���� � <br />