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�� � <br /> m � x <br /> C H <br /> ��H �APPLICAT'�N FOR ELEGTRICAL� �ERMIT <br /> � H�7�1 <br /> "�tlH� ' <br /> CA H <br /> �\ <br /> H <br /> �H C7 ceverett <br /> H� �y BUILDING OEPARTMENT <br /> �„ n 259•8810 <br /> �y� I <br /> g�y : �,l�alK ��Zi� �oz2 � k� P�PT 9�zc�� 3�0ln�n! <br /> q� � ��� Ma� ddress ty ip hane <br /> yHO� � enant ai ddrass ity ip honn <br /> & at ia Serv Ino 4402-224th St Stv, bltlake Terraae 98043 252-8988 NOODFES1210F <br /> ec r ca ontractor ai ress ity ip hone cense �t <br /> �j��� S�'�2 <br /> ontract r ce a or roposed ,.se o ui ding <br /> S�9��f f�5 /-�L�Je <br /> ro ect cdress <br /> scription o Work o e one: <br /> ( '�^���r�P S�i^✓� PP 7`0 `Oc� �/��/� <br /> 11 <br /> �_I <br /> ' 1 NOTE: BECAPPROVEU�BY iifEU5TA7ETOFTWAStINNGTON.ELAPPLIClNTS WITHTSU�CICJODSr+HUSTISIIOWTTiE STATERAPPROVEDCPLANSABEFOREEA <br /> I�' CITY OF EVERETT PERMIT WILL 9E ISSUED. <br /> 1 NOTE: WIRINC IN NON-DWELLINGS IS REOUIRED TO BE IN PIETAL Rt�CEWAYS. . <br /> I <br /> '=' I HEFiEBY CERTIFY THAT I HAVE READ AND EXAMINED TI1iS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND OROINANCES GOVERNING THIS ttPE OF <br /> '.�I , WORK WILL BE COMPLETED WITH WHETHER SPECIF�ED HEREIN OR <br /> � NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> f=1 AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE � <br /> 1 ' PERFORMANCE OF CONSTRUCTION.THAT I AM AUTNORIZED BY THE % <br /> � OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH FEE ��-� <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> �1 CONTRACTORS IAW 1027 RCW AND 296.200 WAC. <br /> 1 <br /> o X �_ <br /> 51g� re Date <br /> , �J 7 <br /> ji v � <br />