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; <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> � ��i J CITY OF EVEREfT <br /> OUILDINC DIVISION <br /> 3200 CmAR STREF.T <br /> tVFREff. YA 98201 <br /> 259-8810 <br /> e / <br /> ,LLLU 4 i4n,^ e r S a�7 /7D.2 �o.r�/� , cY jr,��I-�e T/- 2 � T �� <br /> ne� Ma 0 rcss —��[y�tate 2Tp" hane <br /> _S9/n�c. <br /> enant a� Gress �ty �tate �p one <br /> �/ �/OU{� FIPG�/+.•C <br /> ectf' cl—T lontractor ai Grcss �C�tate/'_7p none [ate �cense o. <br /> �S//7 i/`f' r4/N/� <br /> �ntrac[ nce o ork ��opos se a uildi� <br /> 170;Z ,Gr�i70rd � <br /> -o�ect AdGress <br /> iscription of Work To 9e Done: ��P k/ /,il� ff�Yl/� ,S'�+r �// C-P Y- /'�P L(.%!Ll S rN• T <br /> ❑OTE: WAC 296-46-140 REpUIRES THqT PV�NS FOR ELECTRICAL WOPN AT EDUCATIONAL, INSTITIITIONAL OR IIEALTH CARE FA�ILITIES <br /> BE APPROVE� BV THE STATE OF WASHINLTON. App�ICAryTS WITH SUCH JOBS MUST SHOW THE STATE APPROVED PLANS 9EFORE A <br /> CITY OF EVERETT PEftNIT WILL BE ISSUED. . <br /> ':OTE: WIRINC IN NON-OWELLINCS IS HEpUIRED TO BE III WNDUIT. <br /> I HEREBY CERTIFY THAT I HAVE READ AND'EXAMINED THIS <br /> APPLICATION AND KNOW THE SAIAE TO BE TRUE AND CORRECT.ALl <br /> PROVISIONS OF LAWS AN�Ofl�INANCES GOVERNING THIS TYPE OF ' <br /> WORK WILL BE COMPLETEO WITH WHERIER SPECIFIEO HEREIN OR <br /> NOT.THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE Ofl LOCAL LAW flEGUL1TING CONSTiiUCTION OR iHE <br /> PEFFORMANCE OF CONSTRUCTION.THAT I AM AUTHOflIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOfl WHICH FEE �� -�f <br /> APPIICATION IS MAOE ANO I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> X � <br /> . i[� �. �/�/� .Z <br /> / gnature� � � �ate <br /> ��ci� <br />