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� <br /> F� � � <br /> m � x <br /> a H <br /> � �m <br /> a x o APPL.ICAT' �P9 FQR ELECTRlCAL,- °ERMIT <br /> 1H <br /> � t� <br /> � O � <br /> HG <br /> cm oF <br /> �� g. everett <br /> ay� � BUILDING DEPARTMENT E' <br /> r� z _ z5s-asto <br /> t-+ H " <br /> g�, w <br /> H <br /> C] C7� � <br /> �� � �'�t��f"SiDF Cusiaw. f�ow�r: s jGl2i Gvra'aP�r.✓ �WF � '�� �✓_w'�1'T -- <br /> z H L� •J 'JHner 1ai ddr�ss :�tY �P ��"_� _ 3 .3 '} '� 15 7 <br /> 3 O f/� - <br /> -� � hone q <br /> 3 enant ai d ress �^��{ P -� �_ V /C%E>R'�'��D� <br /> ; �.�. Pc��s��� E�etm<< 33yZ � �� s� �y,�Uw�� ,q> �9� ac <br /> � hone ��cense z <br /> �� <br /> ectrica on[rattor ai dress �•�CY P , <br /> �. ropose se or ui ing <br /> �ntrac[ nce o War <br /> ' /c� 2 3 ! rf���y a�< l.�r 2 <br /> ;, <br /> P-ro�ect ddress <br /> C <br /> � 6iscription o N'ork o Be Oone: <br /> ,� L:��/rE /t/��-vJ ��-� �ciJ �^ c�cR/1FAL� -- <br /> /" . <br /> `� <br /> , �..� :a <br /> °`�' ,� — <br /> ,I ��V i � _ <br /> � ' 9 <br /> V�\� �: <br /> � NOTE: WAC 296-46-140 REOUIRES THAT PLANS FOR F.LECTRICAL WORK AT E�UCATIONAL� INSTITl1TI0NAL OR HEAITH CARE FACI <br /> i BE APPROVED BY THE STATE OF WASHINGTON. hPPLICANTS WITH SUCH JOBS HUST SHOW THE STATE APPRJVED PlJ1N5 �EFORE A <br /> .ry CITY OF FVERETT PERMIT WILL BE ISSUE�. <br /> � �a.�. . NOTE: WIRRIC IN NON-�WELlINGS IS REOUIREU TO BE IH METAL RACEWAYS. � <br /> .' � I! Z� <br /> � �,�� �� I HEREBY CEFiTIFY THAT I HAVE READ AND EXAAIINED THIS ��� <br /> ' APPLICATION AND KNOW THE SAME TO BE TPUE ANO CORRECT.ALL <br /> �� PFOVIS�ONS OF LAWS AND OP�INANCES GO�EFNING THIS NPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SFEC�FIED HEREIN OR <br /> � �� NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> Q I AUTHORITY TO VIOLATE OF CANCEL THE f'FlOVISIONS OF ANY <br /> OTHER STAT[OF LOCAL LAW REGULATING CCNSTRUCTION OR THE <br /> � PEFFOftMANCE OF CONSTFUCTION.THAT I AM AUTHORIZED BY THE � <br /> : /, � <br /> ' OWNEfl OF THIS PROPERTY TG PEFFORM THE WOPK FOR WHICH FEE 1 <br /> APPLICATION IS MAOE AND I COMPLY WITH THE STATE <br /> .�y�� ? CONTRACTOflS LAW 1927 FiC�^1 AND 296200 WAC. <br /> ;I <br /> /� <br /> X �� �, f�;.� 9�2-9� <br /> Signaturc Datc <br /> � <br /> � <br /> � <br /> �� ____—�_._-- <br />