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�_� <br /> APPLICATIUN FOR ELECTRICAL rERMIT <br /> an cF <br /> ev�re#t <br /> BUILDING DEPAFTMENT � <br /> 259•8810 . <br /> ner Ma Address ty p hone � <br /> Ga�n�►� �, r3��u,� 26D6 w���- EI,�-K�Frr_I 25g -2"�HO <br /> enan�- a d ress Cy �p one <br /> e eatr ca ontractor a� 3 r�ss ty p one ieense <br /> �ot n� F-iK.. Z�i��. a�vr-�cLti Pk Kd. L���,�� qso�� 7ys3g°I5 Po � nrt�t 1Nd DE <br /> i.on[ract��iee oTWor , ro osc se o uiTdln <br /> �� <br /> .�H56 'pD 1�5 � <br /> Fro ect ddress <br /> b � � <br /> iscnpt on o Nork o ooe: <br /> !'�I��rJ9� 1�.K..v�c e� �'o ?,� �^+•����sr�0 _ G�I ��• ,�%� <br /> �✓M i'� I�tz+l�n ���f `T'p �t�' X� c . <br /> NOTE: XAC 296-46-140 REpUIRES THAT PLANS FOR ELECTRICAL WORK AT EOUCAtIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHON THE STATE APPROVED PLANS BEFORE A <br /> CITY OF EVERETT PERMIT WILL BE ISSUED. <br /> IIOTE: WIRING IN N01:-DWELLINGS IS REOUIRED TO BE IN METAL RRCEWAYS. <br /> I HEFEBY CERTIFY THAT 1 HAVE READ AND E%AMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.AlL <br /> PROVISIONS Of LAWS AND ORDINANCES GOVERNING THIS NPE CP . <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GFANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHOflITY TO VIOLATE OH CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR IOCAL LAW REGULATIt+6 CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT 1 AM AUTHORIZED BY THE '�✓ <br /> OWNER OF THIS PfiOPERTY TO PERFORM THE WORK FOR WHICH FEE 7� <br /> APPLICATION IS MADE AND I COMPIY WITH THE STATE � <br /> CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> X �rn�`T�Q� °I-yZ-°I � <br /> Si9nature Uate <br /> . ,Js 1� �� � <br />