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,✓ ---. _... -- <br />��� -- .- <br />APPLICATION FOR ELECTRIGaL PtRMIT <br />CI7V OF <br />everet� <br />BUILDING DEPARTMENT � <br />259-8810 <br />�2AG-�l' 6k C�° Cv <br />S�1�C- <br />P,N//•e LL.G� <br />oress ctty <br />L�'o� Cv <br />r�'�z_v 6 <br />,zP — <br />sz <br />25�3 �3 <br />�ons ��cy cip rnone License ! <br />�vao of��c� <br />Lon£ract r ce o or ropose se e u ng <br />a? 7 Oj/ ��a !'T <br />Froject ress <br />ze3e� <br />7C/:. �;//sr>hl . <br />L%�C � <br />' <br />NOTE: WAC 296-46-140 REOUIRES THAT PLANS FOR ELECTR�CAL WORK AT F.DUGTIONAL� INSTITUTIONAL OR HEALTH CAAE FACILITIES� � <br />BE APPROVEO BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE APPROVED PUNS BEFORE A', <br />CITY OF EVERETT PERMIT WILL BE ISSUED. t•.� ��. !:� <br />�f ' <br />NOTE: WIRING �N NON-DWELLINGS IS REOUIRED TO BE IN METAL RACEWAYS. '.„�;�;!l;rl�,.l:�' <br />. ��` `i:;'i:r �. <br />F} }, <br />�.i; , <br />���7 i � � <br />1 HEREBY CERTIFv THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TY°i� OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW HEGULATING CONSTRUCTION OR THE <br />PERFORMAtJCF OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PEFifORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />X JJ�/",�f�� �-/o - 9Z <br />Signature Date <br />�� <br />-F�-SSIO OT- IOOJ c/� <br />FEE " � ' � � <br />vK' 1��� <br />n <br />v <br />.;;i. , .`.. <br />`.;i ' �; <br />��� ��� fb'��'.;. <br />.'ta. . <br />.':� ,'' `Y ,,� ,I <br />— �'. <br />. � "� i . ii_' .�� ��.I <br />,�.,,, 4 <br />d.,:tiT � <br />4..). <br />.fr 1 " , <br />,��' �.�'. <br />�.�;.�� ;�. <br />°,����'j <br />��.`,� � .i, <br />���f�. � ,� : <br />,, <br />�' , <br />J <br />