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APPLICA��ON FOR ELECTRICAI -�ERMIT ��,� �,� <br />� <br />CITV OF <br />- everett <br />- � BUILDING DEPARTMENT <br />� 259•8810 <br />o_ . . _ .__ __ . . .__. <br />� <br />� <br />4 <br />e <br />BOB BROKAW P.O. BOX 254 EVERETT 98206 252-9061 <br />ner a dress ty p hone <br />� ai d ress ity p hone ��,J� <br />�enant <br />; NW COMM. & ALARM P.O. BOX 6277 LYNNWOOD 98036 775-4456 NWCOMAI110DL <br />� E%eir ca ontractor ai ress ity �p one cense +t <br />� <br />' ontraeT riee o or ropose se o ui ng <br />? 3225 ROCKEFELLER AVE. EVERETT <br />� ro�ett dress <br />� iscnption o Wor o e one: <br />. <br />� <br />� <br />� <br />� <br />INSTALL LOW VOLTAGE SECURITY SYSTEM <br />�NOTE: tlRC 296-46-140 REOUIRES THAT PLANS FOR ELECTRICAL MORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br />C BE MPROYED BY THE STATE OF MASHINGTON. APPLICANTS XITH SUCH JO85 NUST SHOW iHE STATE APPROVED PLANS BEFORE A <br />; CITY OF EVERETT PERHIT MILL BE ISSUED. <br />: NOTE: XIRING IN NON-DXELLINCS IS REOUIRED TO BE 14 METAL RRCEWAYS. <br />3 <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />; APPLICATION AND KNOW THE SAME TO BE TRUE AND CORFlECT. ALL <br />� WO KISWI LSBEFCOMPLETED WIDTIH WHET ER SPECNFIED HE EPN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />i AUTHOFiITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />` OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />' F CONSTRUCTION THAT I AM AUTHORIZED BY THE <br />PERFORMANCE O • <br />OWNE(1 OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLV WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 2962P� WAC. <br />X � / " _ a.a 9<z <br />gnature Date <br />FEE $ 30.00 <br />