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.. . __.—._�.:S1..5�. ,. ..��..¢• . . y�y� . <br />APPLICAT�N FOR ELECTRICAL �RMIT <br />CI1Y OF <br />' everett <br />BUILDING DEPARTMENT <br />259-8810 <br />I P FJ IJ R�'ROD -k �Q U e I O(P 1"i"l4 N T CUI�'�Y1 �) <br />P1=� itr��E�� ��1�T�P�RS 90� 5� ��L�s2 <br />uwner . naii naaress �tcy cip <br />' H�=ll� �l�n.rL 9„� CL Lilnen'r1- %�')nii ltl/.'�/� <br />e <br />�.� 90(� SE �Uere7t� /}?al1 �-1pu , ���e,���t1, ( <br />iscriptian o or o e one: <br />� <br />�. <br />3 <br />- r,�n � <br />icens� <br />NOTE: WAC 296-46-740 REpUIRES THAT PLANS FOR EIECTRICAL WORK AT EOUCATIONAL, INSTITUTIONAL OR HEALTH CARE FAC�LITIES .. <br />BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITN SUCH JOBS MUST SHOk THE STATE APPROVED PLANS BEFORE A <br />CITY OF EVERETT PERMIT WILL BE ISSUED. ��� <br />NOTE: WIRING IN NON-DWELLINGS IS REpUIRED TO �E IN METAL RACEWAYS. <br />I HEREBY CERTIFY THAT I HAVE R�AD AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TC BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCeS GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH Wt�ETHEP. SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT 'JOES NOT PRESUa1E TO GIVE <br />AUTHORITY TO VIOLATE OR CANGEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTIOP�. THAT I AM AUTHOflIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WH�CH <br />APPLICATION IS MADE AND 1 COMPLY WITH THG STATE <br />CONTRACTORS LAW 18.27 RCW AIJD 296.200 WAC. <br />ll� �1'�Y`-� �OJ�� i/ZITI'lC..{� <br />X ���nu � `�1v���ziY� l�l�l9/ <br />Signature Date <br />��> G�7L4 ��-'� <br />� i-;,,�d�en-tz� F <br />n60 <br />FEE d�`/ �— � <br />