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� <br /> APPLICA� i0N FOR ELECTRICAL PERMIT <br /> citv oF �xerr <br /> BUILDINC DIVISION <br /> � 3200 CmAR STREET <br /> . EVERETT� IU 98201 <br /> 259-8810 <br /> �l�n� �'��-�- /y�ao ./� �/ �.//�,�.�_ --.- <br /> neri� a d ress ty tate ip hone� <br /> • enant ai ress ity tate ip one <br /> -�rac�c�c�r,r.� �sv�o��,��r�,�,,,���..,����r S�'99y7 'T�GY�Esa84o'A_ <br /> ect�a oniractor aiT�ddress ity Cate i p one tato cense o. <br /> � , . <br /> ract3}iE t Pr1ce� or ropose se o ui ng <br /> c$�l0 Ylu•,�vlCi�i1r� Lo-� �� /��� tL/lF.(j.tZ�lL <br /> ro ect aress <br /> � DiscNption of Xork To Be Done: �aG.Gi-L}�J� <br /> NOTE: MAC 296-46-1q0 REWIRES THAT PU4N5 FOR ELECTRICAL WORK AT EDUCATIONAL� IlISTITUT�ONAL OR HEALTH CARE FACILITIES <br /> BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE APPROVED PLANS BEFORE A <br /> CITY OF EV!'RFTT PERMIT WILL BE ISSUED. , � <br /> NOTE: . MIRINC 1N NON-DWELLINCS IS REpUIRED TO BE IN CONDUIT. <br /> 1 HEREBY CERTIFY THAT I HAVE READ AND' EXAMINFD THIS <br /> APPUCATION ANU KNOW THE SAME TO BE TRUE AND CARRECT.ALL <br /> PHOVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OP <br /> WORK WILL BE COMPLETED WITH WHE7HER SPECIFlED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PpOVIS�ONS OF ANY <br /> OTNER STATE OH LOCAL UW REGULATING CONSTRUCTION OH THE <br /> PERFORMANCE OF CONSTAUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPErITY TO PERFOHM THE WORK FOR WHICH �E <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRAC70R5 UW 1827 RCW AND 296.200 WAC. <br /> �X /r���--�i�-� ��S-�'3 <br /> ' O+fte <br /> S i gna;.ure <br /> �� ��O <br />