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xr� <br />�� <br />A X1 x <br />ayxm <br />y z r�i <br />�e c� <br />oxo <br />'+] H �{1 <br />VJ H <br />y r <br />�o� <br />HC <br />O �-+ <br />H/��8 <br />y� V � <br />ay� <br />r x <br />HH <br />y <br />C� C t�/� <br />��� <br />Z H f/� <br />H O p� <br />r.. <br />._a..._. . . . t .. .t'.`-'•+^�..�.�y�J�l[` "Y`�' 'N.Y .y_.,...w.�i.�h� <br />%"u • .o s r . 1. o <br />�.�.:, ' . �:.yd.; ' r-�r . .. . .�j �1^ � � . .. a. <br />yi�� <br />.j - r <br />APPUCATION FOR ELECTRICAL PERMIT : <br />CT' OF <br />everett <br />BUILDING DEPARTMENT <br />254•8810 <br />uwnar � nai� naoress ��cy tfp rnane <br />SAn�c As h�T3v��C <br />enant Nai Edress ty �p hane <br />LdI ELECTRIC INC. 4601CHENNAULT BCH.RD. MUKIL'PEO 98275 745-3308 LLELEI213B9 <br />ectrica oneractor a� Ctlress ity � �one tcense t <br />APR(1X #Jflfl_M(TTMF R MATF.RTAL51 RPSTnEN � gL <br />ontrZ�att PFice o'eork roposea s�iTaing <br />s�m e� s c:w Ne rz <br />ro�eeeP�Taa�ess <br />CHANGE OVER ELECTRIC OR OIL FURNACES TO NAUTRAL GAS <br />fscriptton o Work o e one: <br />NOTE: MAC 296-46-190 REOUIRES THAT PUNS FOR ELECTRIUI MORK AT EOUGTIONAL� INSTITUTIONAL OR HFaLTH URE FACILITIES <br />BE APPROVEO BY THE STATE OF M�SHINGTON. APPLICJJITS XITH SUCH JOBS MUST SHON THE STATE APPROVED PLANS BEFORE A <br />CITY OF EVERETT PERMIT MILL BE ISSUED, <br />NOTE: VIRINC IN NON-DWELLINGS IS REOUIRED TO BE IN METAL RACEWAYS. <br />I HEREBY CERTIFY THAT I HAVE READ AND [XAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF UWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHEfNER SPECIFIEO HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHONITY TO VIOUTE OH CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL UW REGUUTING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTAUCTION. THAT 1 AM AUTHORIZED BY iHE <br />OWNER OF THIS PROPERlY TO PERFORM THE WOiiK FOR WHICH <br />APPLICATION IS MAOE AND I COMPLY WITH THE STATE <br />COMTRACTORS UW 18.27 RCW AND 296.2Q0 WAC. <br />i �X /' � � `r / � C' <br />� qn�tur `" D�t� <br />FEE $ 25.00 <br />� <br />�� �7 ��� <br />