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_ _ 9z7��- <br /> APPLICATIuN FOR ELECTRICAL rERMIT <br /> . ��� <br /> V"L', <br /> everett � <br /> BUILDING DEPARTMENT ,` <br /> 259-8810 <br /> Bxa.� �o►«ws�cKl ��.�I..e. Po•doR37o7 SrQ�Nc 48ot� <br /> � r�u ty p Iwna <br /> 54«,e.. <br /> �n�n rou ty p m <br /> A�er�i�+e�t ELd�.:� PO.dsti bLL. I��+.O�wu�Ilt� ����OT2.-dd.6 M�P,4-o2Z2.. L�e�►rNEG5�ITiC <br /> E�esr e�� n ne or rns y p-Pnona e�n�e 7�- <br /> �-(JU � AJo ��/�rra <br /> r� � c�o or ropo�� �e o TTdin <br /> ro �eC nw <br /> ��3 CasiKu (�o�� �.x�-fCf— F�n.,00rF Wav lg�:a�a.a <br /> �c� p on o r o n�: �7 <br /> Add �OYJ�r- co«c��'.�Fs ncv-ose. b�:dP�� wca �io (-� t.rc( <br /> 'll65ec �a�,�r� .atxur.� �ucl- �orti Icz <br /> �— <br /> NOTE= MAC 296-�6-1�0 REOUIRES TH11T PWIS FOR ELECTRICAL MORK AT EDUCATIONAL� INSTITUTIONAI. OR HEALTN GRE FACILITIES <br /> !E APPROVED BY THE STATE OF MASMINGTON. APPLICANTS MITH SUCH JOBS MUST SHON THE STATE APPROVED PLANS BEFORE � <br /> CITY OF EVERETT PERMIT MILL BE ISSUED. <br /> NOTE: MIRING IN NON-DMELlINCS IS REOUIRED TO BE IN McT11L RACENAYS. <br /> 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECL ALL / <br /> PROVISION3 OF LAWS AND OROMANCES OOVERN�NG TH�S TYPE OF ✓ <br /> WORK WILL BE COMPLETED NATH NMETHER SPEC�FIED HEREIN OR <br /> NOT. TNE ORANTINO OF A PERMR DDES NOT PRESUME TO OIVt <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIOf�S OF ANY <br /> OTHER STATE OR LOCAL lAW REOULATINO CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHOHIZED BY THE 1� <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH iEE / I �. �pO <br /> APPL�CATION IS MADE AND I COMPLY WITH THE STATE — <br /> CONTRACTOHS LAW 1B.Z7 HCW AND 296.200 WAC. �S,S 7 ao p�M� �8� p-��',4/950w... ... <br /> X .� �� �o�-� <br /> Sipn�ture Dett <br /> , ����� <br /> /) <br /> +t /� 19�- <br />