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; <br /> \��" � APPLICAT ?N FOR ELECTRICAi`°�''ERMIT <br /> � <br /> ��� cm oF <br /> everett <br /> m�x BUILDING DEPARTMENT <br /> a y y 259-8810 <br /> y xH <br /> �C y� <br /> � �� G(Zt�1 1�Io2Tr�Gu�Si oz�a�ll(��'YsTS� ��s�f�{ 9�o b' 33�-�068� <br /> f/�F-1 ner Mai dT�-�Y �p�hone <br /> Xy �7Y'"'1n.�0_. <br /> � <br /> � y b . enant ai tldress ty p hone � <br /> L��na� �u 8sr1 � �i5y��s� S�.z,oM, y�zy6 »�-�s�� HaN.. ��(nti� <br /> ��� ec r�ca ontractor ail�Cddress ty p one cense ♦ � <br /> � <br /> Z H� �dUO • 'rS� �-�S\'0�...CS <br /> .�„� y� ontract nce o or ropose se o uiTding ; <br /> N y ! `I �� � � l���n �� . . <br /> H �r •-.i�Cddress � <br /> gdy • f <br /> � �� �� 04vv.Q , � �F�IL.0 l F� <br /> xyy �s, lpt�on�r o e one: <br /> 'd O fn <br /> ' <br /> �!` � <br /> �"! NOTE: WAC 296-46-140 REOUIRES THAT PLANS FOR ELECTRICAI WORK AT EDUCATIONAL� INSTITUTIONAL OR HEALTH CARE FACILITIES , <br /> BE APPROVEU BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JO&S MUST SHOW THE STATE MPROVED PUlNS BEFORE P. . <br /> CITY OF EVERETT PERMIT WILL BE ISSUED. � <br /> �d ev <br /> .�,�I NOTE: WIRINC IN NON-DWELLINCS i5 REpUIRED TO BE IN NETAL� RACEWAYS. <br /> Iw � <br /> �""'' I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AI�D KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND OFiDINANCES GOVEfiNING THIS TYPE OF , <br /> � °'� WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> ��.+� NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PflOVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE . <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHOFIZED BY THE �� Q <br /> ,e,,I OWNER OF THIS PRCfcFTY TO PERFORM THE WORK FOR WHICH FEE <br /> APPLICATION �IS MADE ANO I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br /> '01`� X <br /> i <br /> Signatura te �'2- <br /> 5 S- ��� <br />