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APp�iCATIUN FOR ELECTRICAL PERMIT <br /> � LIiY OF EVERETT <br /> I WILLING DIVISION <br /> �i-1 i��,J 3200 CmAN STRCEf <br /> (y �c, EVEnnerr, Na vazai <br /> 259-8870 � ����� �� Q�� i:�c-1��;� <br /> MUKl�fLO �c.flao� D�4'i. �l/ Y e� lA//'iP k'�C'd0 <br /> nner 1{ai tldress t Cate hone <br /> fna/��C{l�P�F� G`F.{�'���t_�f`{��GWn.` �(7�'U �QL���$tate �P � �'�Je���.Jl/ <br /> �1i:A- �ESi E�ecYR(C Gl '1 �luNi�!N� ��RSfY �'� 9 .� � 3k�3��a S�/�wcEr�io4g <br /> E e��ca onVac�C tor �ai Gtlres, —�� y tate ip hone tate—e ic�C' ense fTo. <br /> l6�vc� �� . - - <br /> Contra< Gr ce o Work ropose se o Ouiltlin9 <br /> 'C' ��Ctu T�R. I ir�R7F gCe CIASS QUDuti� <br /> r��ec[ Address <br /> �iscription of Work To Be Dane: IUf; W /�L1 ry� Y6�L�� f���tF, <br /> (V CCL� ���.t /l(Jr9 Y�I kE� , (`�E�!/ �L�� L—�i� �'o�'C�. <br /> I�OTE: WAC 296-46-140 REOUIRES TIiRT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL� INSTITUTI�NAL OR NEALTH CAflE FACILITIES <br /> �E APPPOVE� BY THE STATE OF WASHINGTON. APPLIGNTS WITN SUCtI J095 MUST SHOW THE STATE APPROVED PLANS BEFORE A <br /> CITY OF EVEFETT PERMIT WILL BE ISSUED. <br /> NOTE: WIRING IN NON-DWELLINCS IS REOUIRED TO 9E IN [ON�UIT. <br /> I HEREBY CERTIFV THAT I HAVE READ AND'EXAMINE�THIS <br /> APPLICATION AN�KNOW THE SAME TO BE TRpE AND CORRECL ALL <br /> PHOVISIONS OF LAWS AND OR�INANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLETEO wITH WNETHER SPECIFIED HEFEIN OR <br /> NOT.THE GFANTIN6 OF A PERMIT OOES NOT PRESUME TO GIVE <br /> AUTHOFITY TO VIOLATE OR CANCEL THE �qOVISIONS OF ANY <br /> OTHEfl STATE OR LOCAL LAW F7EGl1lATING CONSTRUCTION OR THE <br /> PEPFOFMANCE CF CONSTRUCTION.THAT I AM AUTNORIZED�Y ThE <br /> OYINEfl OF THIS PPOPERTY TO PERFORM iHE WOFK FOR YlHICH FEE ,�' I <br /> APPLICATION IS MADE AND 1 COMPLY WITIi 7HE STATE <br /> CONTRACTORS LAW 1827 fl W AND 296.200 WAC. <br /> Q <br /> X � p <br /> GC�1iUQn �� � j7/nJ �O <br /> ignature atv <br /> ��� �,� ,o�- /�I,��c, Se,�(�3 �v/ ��su-e_ <br /> �v�C. ����i 7�' G��a�,`�.� <br /> ;?; <br /> ,'0 `�� '��� .�^�zc� <br /> �� � , -.� � <br /> ' � .,�MSa.q �'"t1R�� .�w,� �... Yn�SF '� 'k41 <br /> 4 .,rs.44�'- <br /> ��� �t'd �.�'���-.�tl���Al@ .r, d� Tr �MWf��IxH�'� <br /> t . 'SCS � .n .�" ,.n�'. +.r��- a�L.ya.�. <br /> rva �., �'d:R����� ' ; � �� : <br /> w..'..- — s � ,.. .'.si'b#c.. , <br />