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� <br /> � "� ; � <br /> C �y i a <br /> M � <br /> � �� .- , <br /> y ppPLICATIUN FOR ELECTRICAL rERMIT <br /> �H� <br /> N <br /> y � CITY OF EVERETT <br /> WILDING DIVISION <br /> 0 H C� � /S EYEREfT.pMA 98201 ��. <br /> � n J/ <br /> �g � 25s-asro <br /> yy /) p c ��. � o� 3s�- �y7Z <br /> ,� />J 3J LIIPrP hone <br /> C" H� S �ty tate ip <br /> l7 V� H ner Mai ddress C/ <br /> ��y D z(� <br /> ZZ ��o Cvluw� b ��,, ae I' C'�'P ��, one <br /> � �py tate ip <br /> enant ai d ress <br /> y o y za ,il w�+. 5�z7o G s y-d931 s;�►S e� � z i �i� <br /> � � 5���} C�O�C Q � �S� A''e. `"k'f '� e tate ip one tate icense o. <br /> Mai dd ess tY <br /> ectr ca ontractor f <br /> SRF <br /> roposed Use o ui ding <br /> ontrad nce o orK � <br /> ro�ect ddress . <br /> V�� � � <br /> //ll _ ..:.Q/1.i <br /> Disoription of Work To Be Dane: / <br /> I 1 <br /> '�' <br /> ' ' NOtE: WAC 296-46-740 REOUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES k.�a�, � <br /> � <br /> '�� BE APPROVED BY THE STATE OF WASNINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE APPROVED PLANS BEFORE A - <br /> CITY OF EVERETT PERMIT WILL BE ISSUED. <br /> 1 ' 'A. <br /> � NOTE: WIRINC IN NON-DWELLINGS IS REpUIRED TO BE IN CONDUIT. � _ __ . ` <br /> '� � r <br /> i.�';;���,�:; <br /> � !� ;-::�F <br /> ��; 1 HEREBY CERTIFY THAT I HAVE READ AND' EXAFIINED THIS :.„ <br /> APPLICATION AND KNOW THE SAME 70 BE TRUE AND CORRECT.ALl ��, '4' <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING TH�S TlPE OF ,,. . <br /> WORK WILL BF_COMPLEfED W�TH WHETHER SPEGFIED HEREIN OR _� ��tij,'' <br /> '-' NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO G�VE � <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY ��S , <br /> '�' OTHER STA7E OR LOCAL lAW REGULAT�NG CON57RUCTION OR'R�E � <br /> PERFORMANCE Of CONSTAUCTION.THAT�AM AUTHORI2ED BY THE <br /> '_1 OWNEF OF THIS PROPERTY 70 PERFORM THE WOFK FOR WHICH FEE _,;:,,- <br /> ppPLICATION IS MADE AND I COMPLY WITH THE STATE „`-. <br /> ' CONTRAGTORS lAW 18.27 RGW AND 296.200 WAC. - - - �-';+ <br /> �� �-!" �� "yz 'd � <br /> X � _ :�� <br /> Uate �����-�� <br /> Signature - <br /> : �;� <br /> �:-7`]t <br /> � ,. . <br /> (' � <br />