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APPLICAT"')N FOR ELECTRICAL�DERMIT <br /> �,r� <br /> everett <br /> BUIIDING DEPARTMENT <br /> 259-8810 <br /> i <br /> � __f/ M I'�N�s� �o � I�A���,�,2 J2 �✓n- 3yk-s'�ay <br /> ntr a resa L`ity P o�s <br /> ; en�nC a ross ty P one <br /> 9s Iao 4402-224th St Stir. Dltlake Terraoe 98048 2b2-8988 11bODFSS1230F <br /> �e r ca n ractor � roes ty p one cenw <br /> Sr2 <br /> � on ract r ca o or ropose se o u aing <br /> 3 �S ��,�,.��,�t �A. � ✓ �T. <br /> � ro ae[ rees <br /> tcrlSi— pTTon o��Mork o ne; • <br /> � `W 5 ,-A�-� o�J J A � M,`_-,YJ� �� /'i1��t/� )I r2 �S.�A <br /> � <br /> � NOTEs M11C 296-+6-140 REOUIRES TW1T PLANS FOR ELECTRICAL MORK AT EDUCATIONAI, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> . BE APPROVED BY THE STATE OF MASHINCTON. APPL�GNTS. MITH SUCH JO85 MUST SIiOM TNE STATE APPROVED PlANS BEFORE A <br /> �� CIiY OF EVERETT PERMIT MILL BE ISSUED. <br /> , NOTEe MIRING IN NON-DMELLINCS IS REOUIRED TO BE IN METAL RACEMAYS. <br /> 1 HEREBY CERTIFV THAT I HAVE READ AND E%AMINED THIS <br /> �� APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECL ALL <br /> � PROVISIONS OF LA1N�ANO OROINANCES QOVERNIN(3 THIS 7YPE OF <br /> WORK WILL BE COMPLeTED WITH WHETHER SPECIFIED HEREIN OR <br /> HOT. THE aMNTINO OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOIATE OR CANCEL THE PROVISIONS OF ANY <br /> OiHER STATE OR IOCAI LAW RE6ULATIN(i CONSTRUCTION OR THE �� <br /> PERFORMIINCE OF CONSTRUCiION,THAT I AM AUTHOpIZED BV THE <br /> OWNER OF THI$ PROPERTY TO PERFORM THE WORK fOR WHICH FEE <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> iCONIRACTOR3 UW 19R7 RCW AND 296.200 WAC. <br /> , <br /> X � <br /> �_ <br /> Slqn r� Date <br /> ' ����� <br />