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APPLICAT� _ N FOR ELECTRI��L ; =RNiIT <br /> CITY OF <br /> everett <br /> BUILCit��' DEPARTMENT <br /> 259-881G ' <br /> ,�AR�Vtor� a�,��l Q�4s_. b'r�t5 fn,vanr�� `�A �. ��-,�t 3�18�-IEoo <br /> ner Mall Address Clty ' �ip hone <br /> OJ.VI RE'F��4I.iC i�tle %6/U S�Lc EU��e� �h4i.11ilA-1. r'.�t?nc,�t Jy —i[c� <br /> enant ai ddress Cit ip hone <br /> �r! FJ.Ecll��� �r�c� 9��5 .Si�t�ti /\c,u �-A 7blb� �:�� 95�25� ,�lFl.�r;r-}"�i ,c.� <br /> c�ectricaT-Zontractor ai ddress �lit�ip . hone T���cense # <br /> �.��;Q G���LS <br /> Zon[r��tte o Wor'k �opose sr. o u1T�tng <br /> �dlU �C 1=UC/1C1� IV�i�LL. �:lAc1 <br /> ro�ect ddress <br /> Uiscription of Work a e ane: <br /> r�,�2.:�- 'h�✓���.����'r��� k <br /> , <br /> N�TE: WAC 296-46-740 REpUIRES THAT PLANS FOR ELECTRiCAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE APPROVED PLANS OEFORE A <br /> C�TY OF EVERETT PERMIT WILL BE ISSUED. <br /> NOTE: WIRING IN NON-DWELU NGS IS REpUIRED TO BE IN CONDUIT. <br /> I HEREBY CERTIFV THAT I HAVE REA� AND EXAMINED THIS <br /> APPLICATION AN�KNOW THE SAME TO BE TRUE AND CORRECT.AlL <br /> PROVISIONS OF LAVJS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILI BE COiv!PLETED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO l'!OLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OFi THE <br /> PERFORMANCE OF CONSTRUCTION.THA7 1 AM AUTHORIZED BY THE <br /> OWNER OF THIS PR7PERTY TO PERFORM THE WORK FOR WHICH FEE //` <br /> APPLICAT�ON IS IdADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LA`N 7827 RCW AND 296.200 WAC. <br /> . . <br /> X �/� !: `// J ///111 <br /> i4nature Date /�� <br /> �I`f° <br />