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��� <br />lV � <br />b A <br />C H <br />y <br />K A <br />H 71 <br />� I~!1 H <br />� � � <br />zcna°o <br />c� • n❑ <br />b H tC <br />� <br />� N H <br />O N <br />M <br />C N <br />� � t�9 <br />O y <br />/.. - <br />I li, '" <br />� o <br />J <br />� i :; *,�n r c "�^ 3 eaw;: <br />.z'ta:.N G$..ay3 <br />,:Y b r�+A roy4 s�}d 4^ . y , <br />�&t �y".eS S ) 1�v�- <br />�;xi�'Y'ia`v.'.»e�-.*aJ�d-Yci'�$Le.-aterr��.yv+FC• <br />APPLICAT� �N FOR ELECTRICAL ', �RMIi' <br />CIiV OF <br />everett <br />BUILDING DEPARTMENT <br />259-8810 <br />��F3 <br />��_Fji7p F KA�pr�Nr 9a6 SE EIYJkI'I'MAILGI�U �R�01 3�/7-230i __ <br />Owncr Plail Address C y ip Phone <br />i-rF Y�i�FTAQ1[�S yo6 sk eurnei'.btn�c uFru 982a1 3vff-2orn� <br />�enant �4ai1 Address �t�'T— iP Phone <br />NE1F��n1,� FLrc�rli ��1t� 9C15 ST�h2 A�c d y'A %�Io?, .513-y.5�5 n/Fi..50E1�3acL <br />ectn ca lontractor MaiT A� �—��t� hone icense <br />��ZOU _ OFFfcC' SPA�G, <br />lontract Fnce o Work PrapoceJ Use-�o ifuil-dinq <br />iscriFtiun ot Work To e Done: <br />� I :i /..I � u i1 �• �' =:. <br />ROTE: WAC 295-46-140 RE7UIRE5 THAT PLAHS FOR ELECTRICAL WORK AT EDUCATIONAL� IGSTIlUTIONAL OR HEALTN CARE FACILITIES <br />BE APPROVED 6Y THE STATE Of WASfiINGTOf7, r1PPL.ICANTS WITH SUCIi JOBS MUST SHOW THE SThTE APPROVED PLANS BEFORE A <br />CITY OF EVERETT PER111i WILL �E ISSUED. <br />HOTE: WIRI�IC IN NON-DW'cLLINGS IS REOUIRED TO BE IN CONDUIT. <br />I HEREBY CERTIFY THAT I HAVE REAO AND E%AMIN[U THIS <br />APPLICATION AND KNOW THE SAME TO BE TRU[ AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WOFK WILL BE COMPLE7ED WITH WHETHEfi SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERh11T OOES NOT PRESUME TO GIVE <br />AUTHOFITY TO VIOLATE OF CANCEL THE PROVISIONS O� n�:Y <br />OTHER STATE OR LOCAL LAW REGUL�TING CONSTRUCTIJN OR THE <br />PERFORMAIlCE OF CONSTflUCTION. THAT I AM AUTHOFiZED BY THE <br />OWNEfi O� TH�S PROPERTY TO PERFOfiM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACIORS LAW 1827 RCW AND 296.200 WAC. <br />X , `� � //-3 —92 _ <br />ig ature / Date <br />_ � � � ��� <br />FEE � z � : p <br />3 �sa � <br />� <br />:� <br />Yi�,-�=�`�� <br />