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APPLICAT��N FOR ELECTRICAL "=RMIT _ <br /> cm c� �� <br /> everett <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> yoora'3 <br /> ner Mai AEdresa i[y p �'�one <br /> C-JeRC-i i 4'Ac�F�cCor�� I��sz=°a�. ��r;�2ic?° �=+�rnE. 9F316 � <br /> �ant Mai tlEr<ss ity ��p nu:e <br /> ���e� w��p l 2os 5� EVER��I�hAt.��.JA�.I ut 3 i ..� 1 <br /> eccnca antrattor a� eress �ty� —Prn�n� --Lwense � <br /> NFi�n�l FIf.cT�l , G(�iS�o�A�k N. �Atr� �8i� �1C1..5b 132C�- <br /> �ncrac[��ce o work rapos< se o u> >r.9 ��V�E.�-^�.yO <br /> ZQ�O— C,C'S1MotAFa2C'��( `1 6 <br /> r� dOreis <br /> s E, - - �� �'�A� c.�AY <br /> iscrip[ian o Work o t one: ' �S�f <br /> � �1.(�1�1 l.1..I��PPnUCMEA j l D pI� l O�ArWP PA�IE� !�l ,S,(�AC,E <br /> _ To PRn�nDE t c���, �0�2 ��F�,� f �Cal-1-CI�C� <br /> ��� ��i �.1c9�R�M rfi� B��(�55 <br /> NOTE: WAC 296-46-740 PEOI11fiE5 THAT PLAAS FaR ELECTRICAL wORR AT EOUCATI@lRL� IN:��ITUTIONAL OR HEILTH GftE FACILITIES <br /> BE MPROVEO BY THE STATE OF MASNINGTON. APPLIfAllTS WITH SIICH JOBS MU51 SHOW THE STATE APPROVED PlANS BEFOflE A <br /> CITY OF EVEftETT PERMIT WILL CE ISSUED. <br /> NaiE: WIRINC IN NON-OWELLINCS IS REUUIREU TO BE IN COIi�UIT. <br /> I HEREBY CERTIFY THAT I HAVE REAO AND E%AMINED THIS <br /> A^PLICA71Cf!AND KNOW THE SAME TO BE TRUE ANO CORPECT.ALL <br /> PROVISIONS OF LAWS AND OROINANCES GOVERNING THIS TYPE OF <br /> Y/ORK WILL BE COMPLEfED WI1H WHETHER SPECIFIED HEREIN OR <br /> NOT.THE GRANTING OF A PERMIT DOP.S NOT PRESUh1E TO GIVE <br /> AUTHCFITY TO VIOLATE Ofl CANCcL THE PROVISIONS OF ANV <br /> OiHER STATE OFi LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PEFFORIAANCE OF CONSTFUCTION.THAi 1 AM AUTHOR2ED BY THE / O_T s <br /> OWNErl OF'HIS PROPEFiTY TO PERFOflM TNE WORK FOfi WHICH FEE la O <br /> AFPLICATION IS MADE AND I COMPLY WITH THE $TATE . <br /> CONTRACTOFS LA\Y 1027 RCW ANO 296200 WAC. <br /> X n��'��- �a�----�3 � . <br /> Si9na[ure �ate <br />