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.� <br />'1 <br />1. <br />� <br />AP°LICAT�JN FaR ELECTRICAL rERMIT <br />CITY OF <br />evQre�i <br />BUILDING DEPART�IENT <br />259-8810 <br />;'�J.� ��i f' �v r .J � <br />17�2 � mA�� ,+-� � <br />� <br />enant Mai Atldress �ty ip hone <br />:1�;-.� ��=y <br />ectn ca lontractor Mai ddress U ty ip hone tcense x <br />T.,o3� �ZCCIQIL ��' <br />�� <br />Q J <br />�l CU, `!7«'!f Y7S' <br />roposed se ot ui dir <br />C�i-F1C� i'��2 <br />� /�C �1L� /iJt �'� � ) ILC L_ _ <br />iscription of �Aork o tle Uonc: � <br />� �ltl <br />70., i�ir� 41� i3? c ti�� R✓.v c..�b�.�.Z�i- r c7 v��AJ Cr�..%2--/I <br />`�vn �eTt7�' r3�1�5t' <br />PlOTE: WAC 296-46-140 REOUIRES THAT PLANS FOR ELECTRICAL WORK AT EUUCATIONAL� INSTITUTIONAL OR HEALTH CARE FACILITIES <br />PE APPROVED BY THE STATE OF WASHINCTON, i1PPLICANTS WIT{1 SUCH JO85 t1U5T SHOW THE STATE APPROVED PLANS �EFORE A <br />CITY OF EVERETT PERMIT WILL BE ISSUED, <br />tIOTE: 'AIRING R7 NON-�WELU NGS IS REOUIRED TO �F R7 IdETAL RPCEWAYS. <br />I HERERY CERTIFY THAT I HAVE REAi) AND EXA671NED THIS <br />APPLICATION AND KNOW TNE SAME TO PC� TRUE AND CORRECT. ALL <br />pqOV15tnNS OF I.AWS AND ORDINANCLo GOVERNING THIS TYPE OF <br />WOFK WiLL BE COMPLETED WITH WHETiiER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOL�TE OR CANCEL THE PROVIfIONS OF ANY <br />OTHER STATE OR IOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORM�NCE OF CONSTFUCT!ON. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERIY TO PERFORM THE WORK FOF WHICH <br />APPLICATION IS MADE AND I COh1PLY WITH THE STATE <br />CONTRACTOFiS lAW 10.27 FiCb7 AND 296.200 WAC. <br />X �' �,��,��- . <br />s; n rc �J,c� <br />:� <br />3�Si3 <br />