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f <br /> � "� <br /> p � x <br /> C, N <br /> 9H �n <br /> H �� <br /> fC O <br /> oH:V <br /> 'i1H� : ..` , , <br /> y y APPLICATION FOR EI.ECTRICAL PERMIT <br /> x <br /> o� e <br /> C�]w��' cin oF eversErr <br /> (] 6UILDINC DIVISION <br /> � H 5 3200 CmAR STREET <br /> H � EYEREIT� MA 98201 <br /> �' y 259-8810 <br /> � <br /> H <br /> oev, �o� `��5� wy�o`� �� �z • � � F.,��s ��a 9ac�c�'� [.�l�l-z3z_� <br /> �� � ��� Mai ddrcss �ity tate i� hone <br /> Wner <br /> H O fyi� __ _..._ — <br /> �enant ai ddress ity tate ip hone <br /> �cRL�,..iY�r.������� �k 1�zG cc �..r>s�.f Lc9� �lU�� `1�i(r8V3�1 _ . -uc���o ic <br /> : ectn ca ontractor ai ddress � t�5tate ip one tate-G cense No <br /> ����= ��,».��,.�,��-���,.z��� ��r�'� <br /> .ontract rice o or roposed se o Duiltling <br /> 5`�03 �"A2� U��.J �,,.�� �o- �'�si <br /> ro�ect Address <br /> iscription of Work To Be Done: ��n�0 'W.Ef aUtF- �� " � ��� � ' <br /> / 1 <br /> 1�' <br /> ' 1 <br /> ,�' <br /> 1 ' NOTE: BECAPPROVED�B� THEUSTATETOFTWASHNNGTON.ELAPPLICANTS WITHTSUCHCJOBSNMUST'SHOWTTHE SiATERAPPROVEDCPLAN5A8EFOREEA <br /> � <br /> CITY OF EVERETT PERMIT WILL BE ISSUED. <br /> jNO7E: WIRING IN NON-DWELLINCS IS REpU1RED TO BE IN CONDUIT. <br /> � I HEREBY CERTIFY THAT I HAVE FEAD AND' EXAMINED THIS <br /> i�j APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALl . <br /> WOFKISWIIL BEFCOMPLEiED WIOTIH WHEETH RVSPECNFIED HERE N Ofl <br /> 1 NOT. 7HE GRANTING Of A PERh11T DOES NOT PFESUh1E TO GIVE <br /> AUTHOFITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> ' OTHEft STATE OR IOCAL LAW REGUTATING CONSTFUCTION OR THE „ <br /> PEiiFORh1ANCE OF CONSTRUCTION.THAT I AM AUTHORRED BY THE �%y <br /> OWNER OF THIS PROPERIY TO PERFORM THE WOFK FOR WHICH FEE � • <br /> � APPLICATION IS MADE AND I COMPLY YlITH THE STATE <br /> CONTRACTOFS lAW 1827 RCW AND 296.200 WAC. <br /> �� • . <br /> �: \ <br /> \ i <br /> X � .0 ' � �, ,,�� �r 5��� <br /> �5ignature � Oatc <br /> � �� � �� `r`" <br />