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APPLICA, .JN FOR ELECTRICA►. P�RMIT <br />cm oF <br />everett <br />BUILDING DEPARTMENT <br />259-8810 <br />ner Mail Address ity ip hone <br />�U�ISU � 1=1��C�u�' yoi s�Z �v. /�u�4c1ri% 9.4:�0� 3Y7-� 3/�___ <br />ienant � Mai ddress ity Tip hone <br />Oi�t�v i�o�i C�h-G�= 9� 9 s� Fu- ��cc wy. rv- `�'3zo3 _ <br />E e�ica ontractor ai dress tt�ip hone icense iF <br />Vi,t ��i�ry Izc.��c� 3o�s �5ro,yif�2 �-v_ 98Zu� zsz-5�8�7 ,+,�'�iNF�7yc� <br />Cantract Yr�ce' ot worK G�, , <br />. . �fDO — <br />ro,7ect ddress � <br />�/U � <br />7Dtion <br />S�� /-' ur'K/z /% .t�/1r�C. cv/�- <br />�r-i=�cis s�,9ciE <br />� <br />�35 <br />/.vS %-/KC. ; /- / zU L' 2 U/}/u� ,!%F�/J/ C/�Tfc/9 C�'/KC �I/TS <br />2- /K T c�/�z � t��/ S �/�l���riiE wA-�-� 5 <br />NOTE: WAC 296-46-140 REOUIRES�TtINT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HFJILTH CARE FACIL�TIES <br />BE APPROVED BY THE STATE OF tlASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE APPROVED PLANS BEFORE A <br />CITY OF EVERETT PERMIT WILL 8E ISSUED. � <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METAL�RACEWAYS. <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIF�ED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION �IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTOFS LAW 18.27 RCW AND 296200 WAC. <br />�/l� -��/% � /a-/9-S� <br />Signature - � Date <br />3y S� <br />FEE <br />