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,r, .�. <br /> APPLICAT ,JN FOR ELECTRICAL rERMIT <br /> ��vere#� <br /> 3UILDING DEPARTMENT , <br /> �59•8810 <br /> K�� l�Avr��J a33q ll '"Av� � Sr-,�rrc£ 98�oZ 3a�-33y� <br /> +nner a droes ty p hone <br /> enant a d ress ty p one <br /> �LKEec o T.,� / aS S• �"A�Kson1 S f/1i7Z� 5'8/YS/ ,�3-a !z[ytscl � c�1 �1� <br /> : ectr c ontractor ai ress ty p hone cense <br /> 7S= CoM�r� <br /> .ontract r ce o Wor roposeA se o ui ng <br /> aa a � ���f�,— Av� „� f�2 <br /> �ro ect tldress <br /> �iscn pc on o Hork o e one: <br /> A D D Gc.JiRi.�1G, ..C',� /l�`r-Gc.�� �-tJ� C L <br /> 'IOTE: WAC 296-46-140 REOUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, IN571TUTIONAL OR HEALTH CARE fACILITIES <br /> BE APPftOVED BY THE STATE OF MASHINGiON. APPLICANTS WITH SUCFI JOBS MUST SHOM THE STATE APPROVED PU1N5 BEFORE A <br /> CITY OF EVERETT PERHIT WILL BE ISSUED. <br /> `IOTE: MIRINC IN NON-DWELLINCS IS REOUIRED TO BE IN METAL RACEWAYS. <br /> I HEFEBY CERTIFY THAT � HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CONRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF , <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTINa OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGUTATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZEO BY THE _ <br /> OWNER OF THIS PHOPERTY TO PERFORM THE WORK FOR WHICH FEE �. 7--J <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.2U0 WAC. <br /> X.����� . �«_ a-�=�3 <br /> Signeture Date <br /> . 31�a� <br />