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1 <br />' <br />-- <br />r <br />APPLICAT �N FOR ELECTRICAL rERMIT <br />3�`III <br />CITY OF <br />everett <br />BUILDING DEPARTMENT <br />259-8810 <br />� <br />� <br />� <br />C�' <br />//DDD <br />ontract r ce o or ropoae se o u nq � <br />ser pt on o or a one: <br />/1G1�� /OC� li�% � 5 Gr �;;��c c_ <br />NOtE: M�C 296-66-1►0 REOUIRES iFUT PUNS FOR ELECTRICAL MORK Ai EDUCAiIONAI� INSTITUTIONIIL OR HEALTH CARE FACIL�TIES <br />BE APPROVED BY THE STATE OF M�SHINGTON. APPLIGNTS MITH SUCH :10&5 MUST SNOM THE STATE MPROVED PLANS BEFORE A <br />CITY OF EVERETT PERM�T NILL BE ISSUED. <br />NOTE: XIRING IN NON-�MELLINGS IS REOUIRED TO BE IN CONDUIT. <br />I HEREBV CERTIFV THAT I HAVE READ AND E7(AMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL <br />PROVISIONS OF UWS AND ORDINANCES QOVERNINCi THI5 TYPE Of <br />WORK WILL BE COMPIETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE ORANTINO OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHOHITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR IOCAL UW REGUTATINO CONSTRUCTION OR iHE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED 8Y T}IE <br />OWNER OF THIS PHOPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 19.27 RCW AND 298200 WAC. <br />X �%1 /J,i it�' • I �%'_'! � n <iCl �—.� ' � ''--� <br />Signaturo Oate <br />FEE��S�U <br />