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` <br /> APPLICATION FOR ELECTRICAL F�RMIT <br /> �vere#� <br /> 3UILDING DEPARTMENT � • <br /> 'S9-88t0 <br /> -- -- -- - - -- --- _ _- - - - ---- -- --- - - <br /> -- - . - . - -- - ---- - <br /> t <br /> i <br /> ��,.Lo . �,ViS ��I v Q�..�S ��JZ/P.f� �� 0?5 �—y �y : <br /> Jwner Me1T dtlress ty rip �one � <br /> ^�/�`.'�� • <br /> �enanTTc �r I / ai atlress ty Zip hone . <br /> CnRJ�/.6� � <br /> =�C� Ci ontractor —�L1 d flSS CY P hOfl! 1ClOS! <br /> � r.�'-f�.lu,.,. ,,00k , h.� c��.� !U- �- <br /> _ontroct r ee o wor ropoaeE se u� n <br /> ��� / <br /> �ro eet tlAress <br /> � <br /> Jisertpt on o Work o._/_e , one: ! <br /> l�Gc� f/��.7 GC�I.e '- �`�Cl.`E G('G i�e� � <br /> . � <br /> . ' <br /> f <br /> � <br /> - 'IOTE: WAC 296-46-140 REOUIRES THAT PLANS FOR ELECTRICAL WORK AT E�UCATIONAL, INSTITUTIONAL OR NEALTH GRE FACILITIES � <br /> BE APPROVED BY THE STATE OF MASHINCTON. APPLICANTS M�TH SUCH JOBS MUST SHON THE STATE APPROVED PLANS BEFORE A 1 <br /> CITY OF EVERETT PERMIT XILL BE ISSUED. t <br /> YOTE: NIRINC IN NON-DMELLINGS IS REOUIRED TO BE IN METAL RACEWAYS. � <br /> [ <br /> i <br /> I HEFEBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL � <br /> PROVISIONS OF U1WS AND ORDINANCES GOVERNING THIS TYPE OF • <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEHEIN OR j <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO CaIVE . <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATIN6 CONSTRUCTION OR iHE �� � <br /> PERFORMANCE OF CONSTRUCTION.THAT 1 AM AUTHORIZED BY THE � 6 — : <br /> OWNER OF THIS PROPERTY TO PERFORM THE WOFK FOR WHICH fEE <br /> APPIICATION IS MADE AND I COMPLY WITH THE STATE ' <br /> CONTRACTORS LAW 19.27 RCW AND 296.200 WAC. � <br /> � <br /> . � <br /> . � <br /> X f .t I-��}� ��1�(�/1/ � � / �-'( y � <br /> Signature Date . <br /> J� J L_,. <br />