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� � <br /> APPLICATION FOF� ELECTRICAL PERMIT <br /> cirr oF Ev�rr <br /> BUIIDINC DIVISION <br /> 3200 CFDAR S7REET <br /> EYERETf� MA 90201 <br /> 2$9-8810 <br /> �d' h l�.rtne.. s�+,�� 'yG0>' Dea �..o�.� Dr Ir+�er �O r1720'G T'Y,7 3Sno <br /> er a '1�Cddress t��`y�'�State Z�—�hone <br /> � �nent a� ress ty tate p one — <br /> •cEl�al ontractor e u�ss� ty tate p one ta e cense o. <br /> •l "/ / . 'f�� ' ��11 L�O 41n �N f U �+�. <br /> n ro r ae o or -Fropose ae o u ng <br /> ro���dross�ratic� F�y� ��v�rctt' <br /> � DiscripNon of Mork To Be Done: �Lii�-G 9 U�'llT+ S "f" �ioc�s � r7�.ne� <br /> � NOTE: WAC 296-46-140 REOUIRES THAT PLANS FOR ELECTRICAL MORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> BE APPROVED BY THE STATE OF MASHINGTON. MPLIGNTS WITM SUCH JOBS MUST SHOM THE STATE APPROYED PLANS BEFORE A <br /> CITY OF EVERETT PERMIT MILL BE ISSUED. �• <br /> i NOTE: MIRING IN NON-DMELLINCS IS REOUIRED TO BE IN CONDUIT. <br /> I I HEREBY CERTIFY TNAT 1 HAVE fiEAO ANQ EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND COHRECL ALL <br /> PROViSIONS OF IAWS AND OHDINANCES GOVERNIN(i iHIS TYPE OF <br /> WOiiK WILL BE COMPlE7ED WITH WHETMER SPEC�FlED HEREIN OR <br /> NOT. TNE ORANTINO OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL UW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION•THAT I AM AUhiORIZED BY THE '7 � �7 � <br /> OWNEH OF THIS PROPERTY TO PERfORM THE WORK FOR WMICH FEE �/ <br /> APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS lAW 18.27 RCW AND 298.200 WAC. <br /> �'�«��� �//�/,�3 , '��� <br /> Signature Date n N <br /> �(Ji l <br /> '/!7 <br />