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,_ <br />��� <br />9H <br />.O�w, <br />9 H C/� <br />y�H <br />� H� <br />'�s] H �TJ <br />�/J H <br />y r <br />z <br />Oy� <br />��g <br />,n � G� <br />H <br />Zy <br />2 <br />�t y <br />g�' <br />H <br />C] C7 y <br />b7 � C��7 <br />�.' H f/, <br />H O Ca <br />,. <br />; <br />APPLICATIvN FOR ELECTRICAL i cRMIT <br />CITY OF <br />everett <br />BUILDING DEPARTMENT <br />259-8810 <br />(�c:v IJ <br />� <br />o� U,. �.i1c��„� .�..�Z,1 -- <br />Address City 1ip <br />TP�y�t Mai tl ress i�ty �p hone <br />�, �:. 4 'C <br />ectn ca ontractor ai dress [y �p hone �cense # <br />or auiiaing <br />�.,i�,. �% <br />��'/v���}�e Fv�y�rF c.J� — <br />i6 scription o Work c nc: <br />IIOTE: WAC 296-46-140 REOUIRES THAT PLANS FOR ELECTRICAL WORK AT EUUCATiQtlAL� INSTITUTIOt1AL OR HEALTH CARE FACILITIES <br />9E APPROVED �Y THE STATE OF WASHRlGTON. APPLICANTS WITH SUCH J0�5 MUST SHOW THE STATE �PPROVED PLANS BEFORE A <br />CITY OF EVERETT PERMIT WILL �E ISSUED. <br />NOTE: WIRING RI NON-DWELUIIGS IS REOUIRED TO 8E IN METAL RACEWAYS. <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAM�NED THIS <br />APPLICATION AND KNOW 1NE SAME TO BE TFUE AN� CORRECT. ALl <br />PROVISIONS OF LAWS AND ORDItJANCES GOVE7NING THIS NPE OF <br />WORK WILL BE C01+1PLETED WITH WNETHER SPECIFIE� HEREIN OR <br />NOT. THF. GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVIS�ONS OF ANY <br />OTHER STATE Oil LOCAL U1W REGUL.4TING CONSTRUCTION OF7 TViE <br />PERfOR1AANCE OF CONSTPUCTION. THAT I AM AUTHORIZED 9Y THE <br />OWNER OF THIS PROPERTY TO PEFFORM TFIE WORK FOfi WHICH <br />APPLICATIOtJ IS MADE �ND I COMPLV WITH iFIE S7ATE <br />CONTRAGTORS V�W 18.D P.CW AND 296200 WAC. <br />i, � <br />L_.� �;/-'�y-"SY//.//</�;��.����. .:i'!—��'�j2�_— <br />Siqnature ��'�" <br /><; <br />FEE G�� S� �� <br />