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APPLICAT.JN FOR �LECTRICAL . ERMIT <br /> �� ( �S c�Tv aF Evmerr <br /> WILDINC DIVISION <br /> -- 3200 CmM STREET <br /> EVER[TT� MA 98201 <br /> 259•8570 <br /> ��,�+c ,, . �G e/� F✓e���77� !c� 9��,�0( j�3 7�70 <br /> n r Ma� tldress Cit�ta[e/ p �one <br /> enant Na Gdross �ty .,tate �p �one <br /> ,���.� 3��/�/�-h,6'p���- <br /> E e nca ontracTC[or —�i ddresTT s��ty—St�Z�—P one �tate icense f�— <br /> �Dv,,�o%�C <br /> ontract nce o Work -Propose s�f�ui Eing <br /> �y�� �.O/l:'/7GH N <br /> ��o�e t Ctlress <br /> �iscription of Work To �e Done: � (J/�p ��vyCl�h2 u � s<'d'!�'C_�P .5� ��e/�J('�P(Y. <br /> W/r�i��. �/�on o C7 ..f-� /.� �' l^�Y I.//l �S�qc{� <br /> HOTE: WAC 296-46-14Q REOUIRES THAT PLANS FOR ELECTRI[AL WOPK AT E�UCATIOIIAL, INSTITUTIONAL OR HfALTH CARE FACILITIES <br /> OE FPPROVED �Y TME STATE OF WASHINGTON. APPLICANTS WITH SUCH JO85 MUST SHOW THE STATE APPROVED PLANS BEFORE A <br /> ,CITY OF EVERETT PERMIT HILL BE ISSUED. <br /> NOTE: WIRING IN NON-�WELLINGS IS REOUIRED TO BE IN CONOUIT. <br /> I HEREBY CERTIFV THAT I HAVE READ AND' E%AMINED THIS <br /> APPLICATION AND KNqW THE$AME TO BE TFUE AND COFRECT.ALL <br /> PROVISIONS OF lA\VS AND OROINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COlAPLETEO WITH WHETHER SPECIFIED H[REIN Ofi <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 GR LOCAI LAW REGUTATING CONSTfl'JCTION OR THE <br /> PERFORMAKCE OF CONSTRUCTION.THAT I AM AUiHORIZED BY THE � 0�- <br /> OWNER OF THIS PROPEFTY TO PERFORM THE WOFK fOR WriICH fEE � O <br /> APPLICAiION IS MADE ANO I COMPLY WITH THE STATE <br /> CONTRACTOFS LAW 18.27 PCW AND 296.200 WAC. <br /> X �,.�� �•-� .���� , <br /> Signa[ure Oate -- \ <br /> i/ ( I <br /> � � �� � <br /> ������V��� <br /> � <br />