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1 <br /> ��� <br /> a � ' <br /> �� � <br /> ��� APPLICATivN FOR ELECTRICALf rERMIT <br /> yx <br /> o � d <br /> � CITV OF <br /> �y� evere#t <br /> BUILDING DEPART�IENT <br /> ��H 259•8810 <br /> H <br /> ��fA <br /> �� /`(92iQi✓ I�"ebL./N,4GN O� OI O��/'S � "I�L _i / �(JI �X�"lr - ,76i 7 <br /> -� ne Hai Addrcss l. t� Zip :hone <br /> . enant �ai ddress ity ip hone <br /> /�:. ss�w� �-1. .� ��s �,��st �, s.�z�f� �s=���si ,�«-s.�r_ .s.�;L�� <br /> ectr�cal—lontracto�i ddress ity ip � hone �cense <br /> �V S LC�/�c-.P . <br /> ontract r�ca o Wor roposed se o uiTding <br /> Sis7n <br /> ro�ect Address <br /> iscription o '�Vork o e one: <br /> f� G % S-�v /�°L•.� �,�✓, c.p , <br /> � � <br /> ��� <br /> � � <br /> ��� <br /> � NOTE: WAC 296-46-140 REOUIRES THAT PLANS FOR ELECTRICAL WORK AT EUUCATIONAL� INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> BE MPROVED BY TNE STATE OF WASHINGTON. APPLICANTS WITH SUCH JO85 MUST SHON THE STATE APPROVED PLANS BEFORE A <br /> ' CITY OF EVERETT PERMIT WILL BE ISSUED. <br /> NOTE: WIRING IN t10N-UWELLINGS IS REOUIRED TO BE IN 17ETAL RACEWAYS. <br /> ' <br /> 1�' I HEREBV CERTIFV TH�T i HAVE READ AND EXAMINED THIS <br /> �• APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> 1 PROVISIONS OF LAWS ANO OROINANCES GOVERNING THIS TYPE OF <br /> '� WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> � NOT. THE GRANTING OF A PERMII' DOES NOT PRESUME TO GIVE <br /> AUTHOHITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> '� OTHER STATE OR IOCAL LAW FEGULATING CONSTRUCTION OH THE <br /> � PERFORMANCE OF CONSTpUCTION.THAT I AM AUTHOFIZED BY TfiE <br /> OWNER OF THIS PROPEHN TO PERFORM THE WORK FOR WHICH FEE � � <br /> �I APPLICATION IS MADE AND I COMPLY WITH THE STATE — . <br /> CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br /> X 1 ) <br /> �.�z�, /,��Gc ww�ti a-/� -5 z <br /> Signature Date <br /> �3 �� ? s. <br />