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xr� <br />m�x <br />C',. H <br />9 �-3 tn <br />H �H <br />K H .n"'7 <br />'�s] H'�] <br />H�C <br />�z <br />y C7 <br />O H <br />��g <br />c� � o <br />r� <br />7 H <br />r t-i H <br />gy <br />H <br />f� C7 N <br />h7�C��7 <br />rz-� o c�'n <br />�:. � <br />APPLICATY�N FOR ELECTRICAL �-CRMIT <br />;ITV OF <br />�verett <br />3UILDING DEPAFTMENT <br />259•8810 <br />('T+'�tcic,2 i n�su�rq,.,cE ��oi N-ovr �— 9820� �5'8�3533 <br />�hrncr �� ddress ty �—�hone <br />r� InjSur�wc� ��oi ffovr Evc�2Fzr 98zar 2s-8-3S33 <br />enant ai ddress �ty Zip —Phone <br />55 <br />W�[/(.,p � OMH��I/i'�- <br />�ontrac[ Pn ce o Mor roposc se o ui d�ng <br />70 � FfoYr <br />ro�ect dtlress <br />�'nrEr� �,Jv4+-L Sl�nl <br />7NC0 <br />cense <br />NOTE: WAC 296-46-140 REOUIRES THAT PLAHS FOR ELECTRIC�L WORK AT EOUCATIOt7AL� ItISTITUTI�NAL OR HEALTH CARE F�CILITIES <br />BE APPRUVED OY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JO85 MUST SHOW THE 51ATE APPROVED PLAtlS BEFORE A <br />CITY OF EVERETT PE°MIT WILL BE �SSUED. <br />NOTE: WIRINC IN NON-DWELLINCS IS REOUIRED TO BE IN METAL RACEWAYS. <br />I HEREBY GERTIFY THAT I HAVE PEAD AND EXAMINED THIS <br />APPLICATION ANG KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAYJS AND OR�IIJANCES GOVERNING THIS iYPE �F <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIEU HEREIN OR <br />NOT. THE QRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEI THE PROVISIONS OF ANV <br />OTHER STATE OR LOCAL LAW AGC�UTATING CONSTRUCTION Ofi THE <br />PERFOriMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROFERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 7027 RCW AND 29fi200 WAC. <br />X � /� � � 2 <br />Signature Da e <br />FEE <br />) i� �.2 (� <br />� �i <br />, , �_, <br />,,, <br />; <br />