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APPLICA1i^�N FOR ELECTRICAL NERMIT <br /> cin oF <br /> � evQre#-t <br /> ¢ BUILDING DEPARTMENT , <br /> ! <br /> 259-8810 <br /> � <br /> � �n r�.� ��,�.� �,�� s} ��. ��z-.�� ,��s'a - sd s.� : <br /> , ner Na ddress ty p hone z } <br /> r <br /> s enaeC ai C ress �ty p one � �..�;`�,,^' <br /> + /Ca�Kssi,1 �i'l.t�� a�{l� f�Ne Sf � . �If 20� ..a.�y��3fi ��,�ssrf.s� xw � <br /> ; ectr ca ontraetor ai ress ty �J � p, one icense <br /> ` /La1�l�vC U <br /> e ontreot r ce o or ropose se o u d ng <br /> � 5� � , <br /> � rP ojeet drese , - <br /> �: „[OD � �� S�N U/G�/ <br /> j 6�tpt�on o 'Aork o e one: <br /> � <br /> i <br /> � <br /> � <br /> i <br /> i <br /> � <br /> 1 <br /> � NOTE: MAC 296-46-140 REOUIRES THAT PLANS FOR ELECTRIGL MORK AT EDUCATIONAL� INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> BE APPROVED BY THE STATE OF MASH�NCTON. APPLICJINTS MITH SUCH JOBS MUST SHOX TNE STATE APPROVED PLANS BEFORE A <br /> CITY OF EVERETT PERMIT tllLl BE ISSUED. <br /> � NOTE: WIRING IN NON-DXELLINGS IS REQUIRED TO BE IN NETAL RACEMAYS. <br /> i � <br /> � � <br /> = 1�r� ��q � <br /> � <br /> �� I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> ? APPLICATION ANO KNOW THE SAME TO BE TRUE AND COflRECT.ALL <br /> - PROVISIONS OF U1VYS AND ORDINANCES GOVERNING THIS TVPE OF , <br /> �, WOHK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE ORANTIN6 OF A PERMIT DOES NOi PFESUME TO GIVE � <br /> AUTHORITY TO VIOLATE OR CANCEL TNE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGUTATING CONSTRUCTION OR THE <br /> � PERFORMANCE OF CONSTRUCTION.THAT 1 AM AUTHORIZED BY THE �J <br /> , OWNER OF THIS PROPERTY TO PERFpRM THE WORK FOR WHICH FEE �J_��� <br /> � APPLICATION IS MADE AND � COMPLY WITH THE STATE <br /> � CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br /> X Mtvv l V(��-�..: J ��I� `�1 u2. <br /> Stgnature Date <br />