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y H <br />tl ro <br />c F� � <br />H] Z M <br />�C y <br />O E00 <br />�q M �V <br />N M <br />� N � <br />M � O <br />� y 9 <br />N �3 <br />N <br />C N <br />� r�q <br />O N <br />�`� �1 <br />( C� <br />'�I�+ <br />APPLICATIUM FOR ELECTRICAL I-cRMIT <br />;INCF <br />evere#�t <br />�UILDING DEPARTi.fENT <br />:59•�810 <br />�c2(t�Y�C� �lC' P �^�'n_ � ��C�� <br />Unner � �ddress <br />i <br />�/ ? � h`,� 1-, l �� .. �� <br />icnant � ai �ddress <br />c ectn ca 6ontractor Ma� ddress <br />� �t� ) i�C� �t C' P /� �(/�r�ri C <br />�ontrac[ �ricc oT Work <br />`�/3 � � n e 5 �f" <br />P rnwm <br />!��'�ef <br />Jiscripeion of 'n'ork o 8c Uone: / , <br />{ F i.rn S7 !-' �f' �� Y � �� t �-� � /Cn � n.' n � <br />I <br />-��/So <br />� • <br />t10TE: WAC 296-40-140 REOUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL� INSTITUTIONAL OR HEAITH CARE FACILITIES <br />BE APPROVEO BY TNE STATE OF 'NASHItIGTOtI. APPLICANiS WITH SUC11 J005 NUST SfiOW THE STATE APPROVED PLANS BEFORE A <br />CITY OF EVERETT PER111T 'diLL BE ISSUED. <br />110TE: 'AIRING I11 NON-OWELLIIIGS IS REOUIRED TO BE IN FIETAL RACEWAYS. <br />I HEREBY CERTIFY THAT I HAVE f1EAD AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TflUE AND COf1RECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVEFNING THIS TYPE OF <br />WORK WILI BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GFANTING OF A PERMIT DOES NOT PRESUAIE TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PflOVI510N5 OF ANY <br />OTHER STATE OR LOCAL LAW F±EGULATING CONSTRUCiION OR THE <br />PERFORMANCE OF CONSTflUCTION. THAT i AA1 AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PEFFORM TIiE WOFiK FOR WHICH <br />APPLICATION IS MADE AND I COMPIY WIT{i THE STATE <br />CONTRACTORS LAW 1B.27 RCW AND 2?6.200 WAC. <br />i � ) <br />X � �%� � � d ro�9Y <br />5 gnature Oate <br />� �� U <br />FEE �/ <br />3S5`j % <br />.�- <br />