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��� <br />oz� <br />C H <br />�Hfn <br />H�H <br />�C C� <br />H �1 <br />�H� <br />CA H <br />�O� <br />OH <br />��g <br />y� r (] <br />t�y� <br />HH <br />gy <br />c�CC� <br />�yfn <br />H O t/� <br />` �� <br />APPLICATION FO►R ELECTRICAL PERMIT <br />11290758 <br />CITY OF EYER[TT <br />OUIIDINC DIVISION <br />3200 CmAR STREET <br />EVERETT� MA 98201 <br />Dale Swant 1512 Rainier Evere[t WA 98201 339-2331 <br />ncr Mai Address ity tate ip hone <br />enant Mai ddress �ty • late ip hone <br />Brinks Home Security 623 Strander Tukw:Lla 95188 575-0497 BRINK HS 148 LG <br />ectrica ontrac[or Mai tldress �ty Cate ip hone tate icense o. <br />$� Residence <br />ontract Pricc o Work Proposed Usc o �uiltltng <br />1512 Rainier <br />ro�ect Address <br />Discripcion of Work To 6c Donc: Intrusion :tlarm <br />HOTE: WAC 296-4G-140 REOUIRES THAT PLANS FOR ELECTRICAL WORK FT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br />�E APPROVE� BY THE STATE OF '�'ASHINGTON. APPLICANTS WITH SUCH J065 MUST SHOW THE STATE APPROVED PLAHS �EFORE A <br />CITY OF EVERETT P[RM1T WILL DE ISSUED. <br />NOiE: WIRING IN NON-DWELLINGS IS REOUIRED TO BE IN CONDUIT. <br />i HERFBY CERTIFY THAT I HAVE READ AND� EXAMINED THIS <br />APPLICATION AND KNOW THE SAIAE TO BE TRUE AND CORRECT. ALL <br />FROVISIONS OF IAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WOFK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOi. THE GFANTING OF A PERMIT OOES NOT PRESUh1E TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE Ofl IOCAI lAW REGULATING CONSTRUCTION OR THE <br />PERFOqMANCE OF CONSTaUCTION. THAT I AF1 AUTHOFIZED BY THE <br />OWNER OF THIS PFiOPERTY TO PEFFORM THE \VOFiK FOR YlHICH <br />APPLICATION IS MADE AND I COM1IPLY WITH THE STATE <br />CONTRACTOfiSI.AW 1827 RCW AND 296.200 WAC. <br />_—.A <br />f (,7 %1/�Ci .� �'i r �;' ?7� <'' <br />Signature �atc <br />FEE S30.00 <br />' � -� <br />. i � `' <br />