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..--, r-. <br /> '��65� <br /> APPLICAT��N FOR ELECTRICAL ��ERMIT <br /> � � Q � Od � � <br /> "YCF SEP 18 199 � <br /> �vere't�t z <br /> iUILDING DEPARTMENT CITY <br /> ................ .............. <br /> OF EVERETT <br /> :59•88t0 --- �-�---- -- --- .__.publicWorksDept.----- --- ------ <br /> Ks..�1 )�i���vnl a 339 //'-"A�� �+r�zF 5E31o�- 3a� - 33%� <br /> �nner � a ddress t�y— p ha�e <br /> enant ai d ress ty p hone EZ <br /> T,E[�£��o l.� � S. ,Tn��s�a s�rn£ �diyy 3d3•26Y7 Fi�r�r�io�,�� <br /> : eetrr ca antrac—C—tor a� ress ty ! p hone cense <br /> i' � � v d• O v Cc�yr„'��ra ,v,•,3 � <br /> .on•,.roct r ee o wor ropose se o u�Td n�^ <br /> ��a i �V�4 TT Bvs� <br /> �ro eet A�ress <br /> 7� A•�-�P F4���2 �h✓D P.+.�Fc - r,���2 �. L,��si-s /�.�D R��'4PTpccrs <br /> iiscription o Wor o e one: <br /> S�a.l r£...ra.v�i ��t)CF_ <br /> 'iOiE: WAC 296-46-140 REOUIRES THAT PLANS FOR ELECTRICRL XORK AT EDUCATIONAL, INSTITUiIONAL OR HEALTH CARE FACILITIES <br /> BE APPROVED BY THE STATE OF WASHINGTON. APPLIGNTS WITH SUCH JOBS MUST SHON THE STATE APPROVED PLANS BEFORE A <br /> CITY OF EVERETT PERMIT WILL BE ISSUED. <br /> `IOTE: MIRINC IN NON-OXELLINCS IS REOUIRED TO BE IN METAL RACEWAYS. <br /> 1 HEHEBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE THUE AND CONRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVEFNING THIS TYPE OF , <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PqOViSIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATIN6 CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE � / '7 �C <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH FEE Co c7 <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 78.27 RCW ANO 296.200 WAC. <br /> . ' <br /> X , l��r l/�'�� � �., 9 - � ��- � � <br /> Siqneture Date <br />