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� � <br />H <br />S y <br />H�H <br />M, C� <br />H x1 <br />�'�tl N �i1 <br />�ypy� <br />Z <br />ONd <br />��8 <br />�y���y M <br />f] y�qy <br />� <br />[9 y <br />��� <br />APPLICAi JN FOR ELECTRICAL �r'ERMIT <br />�� � <br />� �/ ' J <br />259-d810 <br />�Wner ' flall Naaress <br />/raTl��, S o7� yai� �,�! �s�` <br />TenSnt 1 ai d res <br />/Ja(i%` /� /4c/ {� i O <br />ectrlcal ontractor ai ddress <br />ontract rice o or <br />�fo/Yh�.4ti s7.` <br />ro,7ect dress ! <br />Discription of Work To Be Done: �G `�'e <br />ll .. I �- • l 'T� <br />roposed Use o ui tling <br />�II <br />P <br />P <br />% ✓/ <br />cin oF �err <br />BUIIDING OIVISION <br />3200 CmM SiREET <br />EVEREff, IIA 98201 <br />NOTE: BECAPPROVED�BY THEUSTATETOFTWASHNNGJON.ELAPPLICANTS�WITHTSUCHCJOBSNMUSTISHOWTTHE STATERAPPROVED PLANSABEFOREEA <br />CITY OF EVERETT PERMIT WILL BE ISSUED. . <br />NOTE: WIRING IN NON-DWELLINCS IS REpUIRED TO BE IN CONDUIT; <br />I HEREBY CERTIFY THAT I HAVE HEAD AND' EXAMINED THIS <br />APPIICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. AlL <br />PFOVISIONS OF UWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHEfHER SPECIFIED HEREIN OH <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHOFITY TO VIOUTE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAI UW REGUUTING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNEF OF THIS PROPERTY TO PERFOHM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW iB27 RCW AND 296.200 WAC. <br />x a <br />ignature Uate <br />FEE �� <br />� <br />� <br />