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APPL�C-AT:�N FOR ELECTRICAL °"cRMIT <br /> CITV OF <br /> everett <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> ����r ��� � � ��20J <br /> ner Ma�l Address City ip hone <br /> enant ai ddress �[y ip hone <br /> ,�C�-?pf ' EL PC i, v70/ - �f"� � S' � �no���—:�"""—��-'�%���3C� <br /> �� rica ontractor ai dress �ty rip hane icense <br /> �� � i�/�- 3�p� <br /> ontract n ce o N'or ropose se o ui ding <br /> S. �-. �. _ <br /> ; <br /> ro�ect ddress <br /> i53�— f�oy� �`��- f v��e �� <br /> C�iscription of Wai'k o e Done: <br /> �_�=ir�� L ;� ,� r ti b l,�,��� �s <br /> �"�,O�R cP � �ixfzrPs — /�/� f/tCl.��.0�1 J _ <br /> NOTE: WAC 296-46-140 REOUIRES THAT PLAIJS FOR ELECTRICAL WORK AT EDUCATIONAL� IN5T17UTIONAL OR HEALTH CARE FACILI��IES <br /> BE APPROVED 6Y TIiE STATE OF W�SIiINGTON. APPLICANTS W1711 SUCN .1(705 MUST SfIOW TIIE ST�TE APPROV"eD PLANS BEFORE A <br /> CITY 0� EVERETT PERMIT WILL 6E ISSUED. <br /> NOTE: WIRING IIJ NON-DWELLINGS IS REOUIItED TO �E II! CON�UIT. <br /> I HEREBI' CERTIFY THAT I HAVE READ AND EXAMINED 1HIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND OFDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COA'PLETED WITH WHETHER SPECI�IED HEflEIN OR <br /> NOT. THE GRANTIN(i OF A PERMIT DOES NOT PRESUME TG GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE / ' (,�� <br /> ?EFFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE � <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH FFE �J <br /> APPLICATION IS MAOE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> / � <br /> ..�/�f'��� / � �� . <br /> � , J` :l,_ <br /> - Dat� <br /> -Sia�aturc <br />