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I <br /> � y <br /> a� H <br /> 1�,H VJ <br /> H�� <br /> k n <br /> ��p� APPLICAT 'i�l FOR ELECTRICAL ;��=RMIT <br /> H � <br /> � HC <br /> OH <br /> O <br /> 4��q . <br /> cirv oF <br /> �H� everett <br /> H H BUIIDING DEPARTMENT <br /> g N H z59-ee,o <br /> �o�rn <br /> �� �Q� ' � - �' v honc <br /> ner <br /> ai Address C�ty �P <br /> � hone <br /> � enan[ ai tldress ���Y s �� » <br /> L7 (/Z'J�O J� ��LcF �J.>C�Q- <br /> iQ�/f���� 4�C'�', ac0�-�� . � /r/� ane icense <br /> eCir�i�aT ontractar a ress '�Y P <br /> /�j O`� <br /> ��L��' ropose se o ui tling <br /> n[ract nce of Wo—�-- �• � O <br /> ro�ect ddress n'�� <br /> �p/ - o/I/'DCs .s�. ,,,�re_ . �_c. <br /> iscnptia� of Wor o e onc: _� �� / � /` , r Na <br /> i ti6�// �ie�� �GYJ rr <br /> f j��/icC l'/ /"' r�r �Z 6� <br /> 1� � <br /> 1-1 <br /> 1 ' ` NOTE: QE�AP�ROVEO�BY THEuSTATETOFiWASHNNGTON.ELAPPLICANTS WITHTSUCHCJOOSNMUSTISHOXTTHE STRTERAPPROVEDCPLANSABEFOREEA <br /> ' CITY OF EVERETT PERMIT WILL BE �SSUED. <br /> ' � NOTE: WIRING IN NON-DWELLINGS IS REOUIRED TO BE IN CONUUIT. <br /> ' '' •'g'i1'�� . <br /> ' I HEi7EBY CERTIFY THAT I hiAVE READ AND E%AMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> '�; PROVISIONS OF I�WS AND��RDINANCES GOVEFlNING THIS TYPE OF <br /> WOF1K WILL BE COMPLETED �NITH WHETHER SPECIfIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO 61VE <br /> 'v1 AUTHOFITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY �J `� <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> 1�' PEiiFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE -,�3,f, �ti.�.,� � <br /> � OWNER OF THIS PHOPERTY TO PERFORM THE WORK FOR WHICH FEE / * �� , <br /> pPPLICATION IS MADE AND I COMPLY WITH THE STATE �-�� <br /> - CONTRACTOFS LAW 18.27 RCW AND 296200 WAC. , r+�� ��, <br /> � ,� Li m <br /> � G �4�� �i h{ . <br /> X ( .'.f! ���/iL A� . �. . <br /> Datc <br /> Signature <br />