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— _ � <br /> APPLICATION FOR ELECTRICA� PtRMIT ' <br /> ITV OF , <br /> �verett � <br /> 3UILDING DEPARTMENT ; <br /> ?59-8810 " <br /> I <br /> ; <br /> ! <br /> � <br /> U {� � 7�' h` 9�a�y .� ��3�6J9 _ <br /> av� A�,.�M ion� s 9 a� s� 6,��� <br /> Mner —T a ress ty � p one � <br /> � <br /> n <br /> ienant a d ress Cy p one . Y <br /> � <br /> . <br /> : <br /> : ecir ca ontractor a ress ty ip one eense <br /> �r/��'':% nc, ,��.e S�.e . : <br /> :ontract r ee o or ropose se o u�Tding ; <br /> ����� ' <br /> ro ect ress <br /> J scn�o��or� ���t5 � <br /> U,pdA{� ��c���,�al /o �o �tM/° <br /> � <br /> � <br /> K <br /> 5 <br /> � <br /> R <br /> NOTE: MAC 296-46-140 REpU�RES THAT PLANS FOR ELECTRICAL MORK AT EDUCATIONAL, INSTITUTIONAI OR HEALiH CARE FACILITIES � <br /> BE APPROVED BY THE STATE OF MRSHINGION. APPLICANTS MITH SUCH JOBS MUST SHOX THE STATE APPROVED PLANS BEFORE A � <br /> CITY OF EVERETT PERMIT MILL BE ISSUED. <br /> NOTE: MIRING IN NON-DMELLINGS IS REOUIRED TO BE IN HETAL RRCEMAYS. � <br /> � <br /> c <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS � <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL � <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF � <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTIN6 OF A PERMIT DOES NOT PRESUME TO GIVE j <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY � <br /> OTHER STATE OR LOCA�LAW REGULATING CONSTRUCTION OR THE �o <br /> PERFORMANCE OF CONSTRUCTION.THAT 1 AM AUTHORIZED BY THE �'7 <br /> OWNER OF THIS PROPEHTY TO PERFORM THE WORK FOR WHICH FEE �S S � � <br /> APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> CONTRACTORS LAW 7827 RCW AND 2%200 WAC. <br /> �- �/� ' � <br /> Signature Date � <br /> �j <br /> 3 � /o S� � <br />