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_ - W.:�� <br /> 1 <br /> .. .' y�- ' .. I <br /> ��� . .��: ' . :.. ... • ..�,v . . . ... r�_.. . . _ . . . . .�.r`_ <br /> 11 . __ .... .._.._.._ .._�_ ._ . . . ..._ <br /> � � APPLICpTIuN FOR ELE�TRIC�L �RMIT <br /> ��� <br /> R�� , ! <br /> ��� cin oF <br /> O everett <br /> �Np BUILDING DEPARTMENT � <br /> Lq 259•8010 <br /> 4• <br /> �� L09!7 GG��+��-�' '�-- <br /> �T .n ` � � 3�Z2. <br /> u -.l i�l� �e� zcr rt�her�cGn �Fn�^�PS ) .},�, �,- <br /> ��p ner —F1ai ddress ty p hone <br /> �� enant l a d ress ty ip —�hone <br /> _ �10 �fJ1{'PC CLe[ .�'0/ -,�'��' S c`ninur2� ��G �7;'7-�i6/ �C/-!'�C-- /3 5C <br /> � ETectr ca ontractor a�T7Cddress—Z`��ty p one cense <br /> S�i��� ��. �' . M1�l�`--IC�Cry <br /> ontr�t�ce o or Proposetl Se o ui ng <br /> 7q0 - �a�ne�� c� <br /> ro ect ddress �/ <br /> �c ,�lt� c[ sp� {'—�c S�-PC� !v,/�P,� �v� ..�OCJ Crinp /�,'Cii/J�� f�%_�� <br /> - iscnption WorT-To e one: <br /> I C�� <br /> i <br /> 1 ��' <br /> � ��� <br /> � <br /> ; <br /> � �� NOTE: WAC 296-46-140 REOUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL� INSTITUTIONAL OR NEALIH CARE FACILITIES <br /> � � '�I BE APPROVED BY T{1E STATE OF MASNINCTON. FPPLICANTS WITH SUCIi JOBS MUST SHOM Tfl[ STATE APPROVED PLANS BEFORE A <br /> CITY OF EVE'lETT PERMIT WILL BE ISSUED. <br /> 1_ , <br /> NOTE: WIRING IN NJN-CWELLINGS IS REpUIRED 70 �E IN 41ETAL RACEWAYS. <br /> �� <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> �� APPLICATIDN AND KNOW THE SAI�AE TO BE TRUE�ND CORRECT.ALL <br /> � I1 ' PROVISIONS OF LAWS AND OROINANCES GOVERNING THIS TYPE OF <br /> � WORK WILI BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. TIiE GFANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHOR�TY TO VIOLATE OF CANCEL THE PROVISIONS OF ANY <br /> OiHER STATE OR LOCAL LAW REGULATING CON iTRUCTION OR THE <br /> I1 � PERFORMANCE OF CONSTRUCTION.iHAT I AM AUTIIORIZEO BY THE <br /> + OWNER OF THIS PROPERTV TO PERFORM THE WORK fOR WIiICH FEE 3s <br /> APPIICATION IS MADE AND i COMPLY WITH THE STATE <br /> CONiRACTORS LAW 18.27 RCW AND 296.200 WAC. , I <br /> x l�-��' /���Co// ' _ <br /> Signaturc <br /> ' o,,t� <br /> JJ� /! <br /> I <br /> I 1 <br />