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��r <br />b�� <br />1�HN <br />H�� <br />M O <br />'� <br />��a <br />f!i H <br />y <br />�O <br />HG <br />OH <br />��g <br />Q Y �% <br />t+y� <br />g�y <br />oe� <br />�r�z1 <br />� H (/� <br />H O fn <br />� s <br />`�'�� <br />APPLICATIO��� FOR ELECTR�CAL f�"�.""�MIT <br />n cr' <br />'V�l'��� <br />UILDING DEPARTMENT <br />i9-8810 ,1 <br />�, Y�fi <br />� <br />enaai �� _ Ma �ddress �:y p hone _ � <br />0 <br />OTE: BECMPROVED�BY TMEUSTATETOFTMASH NGTON.ELAPPLIWITS�N�ITHTSUCHCJOBSNMIISTISHOHTTHE STATERMPRO\' D PLANS^BE O�tEEA <br />CITY OF EVERETT PEFWIT NILL 8E ISSUED. <br />GTE: i11RING IN NON-DWCLLINC$ IS REOUIftE� TO BE IN HETAL RACEWAYS. <br />I HERE6Y CERTIFY THAT � HAYE iiEAD AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TflUE AND COHFECT. ALL <br />PROVISIONS OF LAWS AND OFiDINANCES GOVEANII�G THIS TYPE OF <br />WORK WIL' �E COMPLEfEO WITH WHEhiFA SPECIFIED HEflEIN OH <br />NOT. THE aRANTING OF A PEFMIT DOES NOT PPESUM� TO (i1VE <br />AUTHORITY T(J VIOIATE OR CANCEL THE PROVISIONS GF ANY <br />OTHEfl STATE UF LOCAL LAW FEuULATING Cl]NSTRUCTION OR THE <br />PERFOIiMANC� OF CONSTflUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFOfiM THE WQf1K FOFi WHICH <br />APPUCATION IS MAOE AND I COMPLY�WITH THE STATE <br />CONTRACTCRS L":`! !^_. � RCW AND 296?.00 WAC. <br />i <br />X� ,-Q,.Q� [""" • ,� <br />�Sfgnature � �� t <br />l � <br />� � �� <br />/ / <br />�� � ; <br />2_5°✓ <br />FEE <br />�,- <br />