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APPLICATI V FOR ELECTRICAL f :RMIT <br /> an oF <br /> �'V�'1'��� ; ro' <br /> BUI�DING DEPARTMENT <br /> 259-8810 <br /> - / �- � - '1 !� - _=' �i�(i <br /> :;'c.l�� -��I�[_ 1- � ��Lr'�� ��G��ll[,L /.�"CCiJ J <br /> _ :� _L�� �� �C',� )�C-`-� �c- , �.�t�l�� lf=�__ i hone <br /> Nai Address � ty P <br /> rvnCf . <br /> � honn <br /> r.nant a� dd�ess �tY P <br /> — i__ t __ <br /> � � k'/t (-��C7'/'/C.. �%L--C: � none icnnse p <br /> ecv�ca Lontractor Mai adress ��Y P <br /> t." <'�' <br /> �._�) ' ropo.ed se ot u� din5 <br /> 'ontract r�ce o Wor J� <br /> ���� � � Y" /�) _t ��-� � �-G/ 2 � _ <br /> ro,7ect Address �_ <br /> II-l7�ll'� �� r�J(>P�. �L-�= <br /> biscripti n o 'tlork o De Don�• __ <br /> ❑OTE: B��AP?ROV[D'OY THEuSTATETOFTWASiINGTON.ELAPFLICANT9 YIITHTSUCICJ005r'MUSif�50HTTHE STATE�4P1'20VEDCPLANSAOEFOREEA <br /> Cliy OF EVERETT PERMIT WILL (3E ISSLIED. <br /> IlOTE: WIRINC IN NON-OWELLINGS IS ftEOUIRED 7C OE IN METAL RA�EWhYS. <br /> I HEREBY CERTIFY THAT I HAVE P�A� AhD EXAMINED THIS <br /> qppLICATION AND KNOW THE SAME TO BE TRUE ANJ CORRECT.ALL <br /> PROVISIONS Of�AWS AND ORDWANCES GOVEFNING THIS TYPE OF - <br /> WOFK VJILL BE COMPL'cTED WITH WHETNER SPECIFI[D HEREIN OR <br /> hOT. THE GFlANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHOflITY TO VIOLATE f)fi CANCEL TH[ PHO'1�SIONS OF ANY <br /> OTHEH STATE OF LOCAL LAW REGUI.ATING CONSTRUC'�ION OR THE � . . .. <br /> PEflFOflMANCE OF CONSTRUCTION.THAT 1 AM AUTHOfiIZeD BY THG <br /> OPPLICAOTIONISIS�MADE ANOPERCOMPLYEWITOHKTHERSTAT`[ FEE <br /> CONTflACTOflS LAW 1U27 flCW AN�296.200 W�C. , <br /> X \�� �/ . 1�I.u%i�.[.,�C,/'"2.,�._ / `���'.' , /.. <br /> 'Date ) <br /> Signature � � �ri � �� <br /> i, > � <br /> � <br />