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APF'LICAT ,JN FOR ELECTRICAL :ERMIT � <br /> . . ...__ _ _ arr oF evExtrr <br /> BUILDING DIVISION <br /> 3200 CmAR STREET <br /> ' � . . EYERETT� M11 98201 <br /> 259-88� �d 5 � e <br /> 1' ����6f�� DIa��J7�i�e �a�Y�f � �.Y�.� <br /> ner Mail dd ss C ty tat p �30l� <br /> 3� <br /> � enant ai d ress ity tate ip one <br /> r)t,vNE R- /,�G� /�/G�1 f �l�.elre,?�`' .�/ - _ <br /> ectr•�ca o�tractor ai re�S ity tate �p hone tate cense o <br /> ETAcHE/� ' (�AICAGL- <br /> on�tract: r ce a or roposed se o ui ding <br /> x G�� ��/y���G Dr���� <br /> ro�ect d rass <br /> Discription of Work To Be Done: �^n r//�°/1 .SE� (/i GE � G�/�CE �s/Y'���'� - <br /> NOTE: WAC 296-46-740 REOUIRES THAT P11+N5 FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE APPROVED PLANS BEFORE A <br /> CITY OF EVERETT PERMIT WILL BE ISSUED. . � <br /> NOTE: .WIRING IN NON-DWELLINCS IS REpUIRED TO BE IN CONDUIT. <br /> I HEREBY CERTIFY THAT I HAVE FiEAD AND' EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS T'PE OF <br /> OT. THE GRA T NG OF ADPERMIT DEO,ENSENOT PR'SUME TO GNE <br /> � <br /> AUTHORITY TO VIOIATE OR CANCEL THE PFOVISIONS OF ANY <br /> OTHER STATE OR LOCAL UW REGUUTING CONSTRUCTION OR 1HE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFOHM THE WOfiK FOR WHICH FEE <br /> APPLICATION IS ��AOE nN0 I COMPLY WITH THE STATE <br /> CONTRACTORS L:rl 1827 P.CN'AND 296.200 WAC. <br /> �t����Q�tir"'o`y.`L� <br /> Signature Date <br /> � <br /> ,�(�-1 Q5 <br />