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f <br /> APPLICATIC:! FOR ELECTRICAL f�`=RMIT � <br /> ; <br /> :in cF <br /> ev�re��t . <br /> BUILDING DEPARTtitENT ' ' <br /> ; <br /> 259-8810 , <br /> Wnar }F- Ma Addreas ty p hane � � <br /> enanT-�� �—�—` a �d ross ty P one . . I <br /> ��,�,. 3lA/N�/.kw.s ���p 9�/3 S� �-5�77- 6 5 � I <br /> cTectncal ontractor a�T7�d3ress ty I�- —Phune L�cense N <br /> y�,gY�d ' <br /> ontract ce o ar , ropase se o u ng � <br /> � <br /> � <br /> �0 3 E � <br /> ro�ect Address _ {�-.J '� <br /> sI '��� �`�+ 'I � ���iC�'� ,—�'�N�7 <br /> 6iscription o 4York o e one: <br /> �ZP'4/� n�.1 � Y�G+�./• / � _ i <br /> �OTf.P� <br /> NOTE: WAC 296-46-740 REOUIRES THAT PIANS FOR ELECTRICAL WORK AT EDUCATIONAL� INSTITUTIONAL OR HEALTH CARE FACILITIES . <br /> BE APPROVEO BY THE STATE OF WASHINGTON. APPLICANTS XITH SUCH JOBS MUST SHOW THE STATE APPROVED PLAi75 BEFORE A <br /> CITY OF EVERETT PERMIT WILL BE ISSUED. <br /> HOTE: WIRINC IN NON-DWELLINGS IS REOUIRED TO BE IN METAL RACEWAYS. � <br /> 1 HEFEBY CERTIFY THAT I HAVE AEAD AND EXAMiNED THIS <br /> APPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND QR�INANCES GOVERNING THIS TYPE OF . <br /> WORK WILL BE COMPLEfE�WITH WHETHER SPECIFIED HEREIN OR � <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE � <br /> AUTHOHITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR IOCAL IAW fiEGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.TtIAT I AM AUTHORIZED BY THE <br /> OWNEH OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH FEE <br /> APPIICAT�ON IS MAOE AND I COMPLY WITH THE. STATE � <br /> CONTHACTORS IAW 18.27 RCW AND 25620Q WAC. , <br /> X � � <br /> .�; <br /> �, l.l`7��,.�� 'f/�/�9"cii <br /> Ignature Date <br /> : . . ����� � <br /> . � <br />