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i� <br /> APPLICATI��J FOR ELECTRICAL FzRMIT <br /> :TV CF <br /> �vere#�t <br /> 3UILDING DEPARTMENT <br /> :5�•8810 � <br /> i <br /> �✓/ d �I � -�-/ i <br /> /-�IWYi li Y�/�o»n�✓a/li�s7b✓! ,E+�%lY l{/�i 9��0�/ �s.Sl-/�j o <br /> %wner Me tlCress <br /> ��� LY �P hone ' <br /> •enanc hai atlress <br /> Oh Lr r;a�no�� <br /> i = ectr ca ontractor ai tltlress <br /> /�aO. �p �tY �P hone icens� ♦ <br /> -OntPiC[ f Ce 0 MOf�"�� <br /> roposc � ui Cing <br /> ro�eet AtlOress �/ ��/�C��/ NAT �7 A� . <br /> �%d!/C I�d�tro�I� GLIZ9/, 'fT� f�N7J�,� .iYii,jS .�ilr�/ /N[�Xi� ha[�+� i <br /> .isenpt on o Nork one <br /> � at�lew /ca�i�i ca�tr �laut� �! vY/�ee �ec.� �.q�//G/ovs-, i <br />� .:;.. , <br /> �f1 � <br /> � <br /> I <br /> 'lOTE: WAC 296-46-140 REOUIRES THAT PUNS FOR ELECTRICAL WORK AT EDUCATIONAL� INSTITUTIONAL OR HEALTH GRE FACILITIES � <br /> BE APPROVED BY THE STATE OF MASHINGTON. APPLICANTS MITH SUCH JOBS MUST SHOM THE STATE APPROYED PUNS BEFORE A <br /> CITY OF EVERETT PERMIT MILL BE ISSUED. � <br /> ' `IOTE: WIRING IN NON-DXELLINCS IS REpUIRED TO BE IN METAL RACEWAYS. � <br /> G�.I�) <br /> 1 HEfiEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS �7�V/ � <br /> APPLICATION AN�KNOW THE SAME TO BE TflUE AND CORRECT.ALL /7� � <br /> PROV�SIONS OF LAWS AND ORDINANCES GOVERNING THIS 7YPE OF ' <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GAANTINO OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OF LOCAL lAW RE aULATING CONSTRUCTION OR THE <br /> PERFOFMANCE UF CONSTRUCTION.THAT I AM AU7HORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFOFM THE WORK FOR WHICH FEE �,j � � <br /> APPIICATION IS MAOE AND I COMPLY WITH THE STATE - <br /> CONTRACTORS LAW 7B.27 RCW AND 296.200 WAC. . <br /> X � <br /> Signeture Date �� <br /> / <br />