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� �� <br /> o�x � <br /> G M � <br /> � xHV� <br /> HX� <br /> fC O ._ <br /> H �1 <br /> �� � . <br /> H - <br /> � � � APRLICATION FOR ELECTRICAL PERMIT <br /> � H <br /> ��g <br /> (�]Y c(] <br /> ay a 11308313 cin oF Evuc[n <br /> ty �� � 6UILDING DIVISION <br /> 3200 Cm�R STREt1 <br /> �y(~p y EVERETT, MA 98201 <br /> O H <br /> n�y�+ 259-88i0 <br /> y p y Gretchen Tfeyers 7910 Rainier llr EveretC , ldA 9R203 353-8987 <br /> - ncr Mai Address ity tate ip honc <br /> enant ai ddrcss �ty .�atc ip 'honc <br /> ldA 98188 575-0497 9RINK HS <br /> Brinks Home Security 623 Strander Illvd Tukwila, L� <br /> eFf cLrical ontractor Mai ddress ity tate ip hone tate icense o.- <br /> Residence <br /> Y149 .00 <br /> ontract ricc o ork roposed sc o uildinq <br /> 7910 Rainier Drive , Everett, WA 98203 <br /> rojcct Address � <br /> ' 1 Discrip[ion af Work To �c Donc: IntTusion ala[m __ <br /> '_' '. <br /> ' ' <br /> 1�' <br /> ' <br /> 1 <br /> �' NOTE: WAC 296-4G-140 REOUIRES THAT PLANS FOR ELECTRICAL h'ORK AT EDUCATIONAL� INSTITUTIONAL OR fiEALTN CARE FACILIT�ES <br /> ` �E APPROVED OY TNE STATE OF WASti�NGTON. APPLICANTS WITli SUCH J0�5 MUST SHOk TI1E STATE A°PRQ\'ED PLFNS �EFORE A <br /> ' CITY OF EVERETT PERMIT WILL �E ISSUED. <br /> NOTE: dIRING IN NON-DWELLItJGS IS REOUIRED TO OE IN CONDUIT. <br /> '�I I HEREBY CERTIFY THAT I HAVE READ AND- EXAAIICVED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> f` PROVISIONS OF LAWS AND OR�INANCES GOVERNING THIS TYPE OF <br /> � WORK WILL BE COMPLETED\YITH WHETHER SPECIFIED HEREIN OR <br /> NOT. TfiE GRAVTING OF A PERMIT DOES NOT PFESI�' E TO GIVE <br /> t�' AUTHOFITY TO VIOLATE OR CANCEL THE PROVISI�NS OF ANY <br /> Oh1ER STATE OF LOCAL lAW REGUTATIN6 CONSTFiUCTION Ofi THE <br /> FERFORMANCE OF CONSTRUCTION.THAT I AA1 AUTHOPIZED BY THE <br /> Ot4NEF OF THIS PROPERTY TO PERFOFM. THE YfORK F OR VlHICN FEE _ $3�•�� <br /> APPLIGATION IS M�OE AND I COAIPLY WITN THC STATE <br /> CONTRACTORS LAW 10.27 RCW AN�29fi200 WAC. <br /> �l��I�l�n ����i��irtn,�.� <br /> Signaturc Dacc <br /> � - �' '� � ' <br /> } -' , <br /> x <br />