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��x <br />>H5n <br />y zH <br />K C] <br />H� <br />� VJ H <br />� O��3 <br />��g <br />C�] Y (7 <br />�H� <br />HH <br />� <br />o❑Cy <br />Cd � Crj1 <br />X H f/� <br />H O Cn <br />r'`1 <br />APPLICAI �JN FOR ELECTRICAL �'ERMIT <br />cm oF <br />everett <br />BUILDING DEPARTMENT <br />259-8810 <br />J1�SC �c+-,Lslr��`���., P� 33��10 �J �l'��c�� 3S�e�-�3o� <br />n r ai ddress tC�— �p hone <br />��� ' <br />enant ai tl ress ity ip hone <br />S�d's ��e� l�c 9�ea- so'=GA� t�� �1u�v� �. /e 4�'d7� Gs9-oy.�l <br />Eiectn cal ontractor ai res— s —�ity i p on'P�—�icense I <br />SF � s� �sceri�� �K <br />ontract r ce o or I ropose se o ui ing <br />o�.�J / ���ki ��et� � ��tl F�Fre� <br />ro�eet ddress <br />iscr pt on o Wor o onc: _ <br />NOTE: BECAPPROVED�BY THEUSTATETOFTWASHNNGTON.ELAPPLICANTS�WITHTSUCHCJOB5NMU5TISHOMTTHE SThTERAPPROVED PLANSABEFOREEA <br />CITY OF El'ERETT PERMIT WILL BE ISSUED. • <br />NOTE: WIRING IN NON-DWELLINCS IS REQUIREO TO BE IN METAL RACEWAYS. <br />I HEREBY CEHTIFY 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 SPECIFIE� HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PEFiFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 2962�0 WAC. <br />X � . • / . Ac� � -/d - y,S- <br />� <br />Signat�' c Date <br />FEE �3 S <br />