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C. <br /> � <br /> � y ' <br /> C�M - � hr <br /> � yy t� <br /> tyC�� i 7 � <br /> �H� APPLICA1 �ON FOR ELECTRICAL PERMIT <br /> � �� cin oF evexerr <br /> d 6UILDING DIVISION <br /> ��(~] 3200 CmAR STREET <br /> �g _ �x�-r, xn 9ezo� <br /> sy�a 259-88Y0 <br /> I� <br /> r� z <br /> HH � �SG �j, o. 1+X 33�(-. Fvf✓l,�ii W/1 7t,2a'i �`�t; �i=�g <br /> gy ner Mai ddress ty tate ip Phone , - - .�,,;,k.yq <br /> H <br /> O�tA ' , . -. -. <br /> ��� enant ai ddress �ry tate ip hone �� <br /> N <br /> �C�� L'� <br /> ectrica Contractor Mai d jess ity tate ip hone tace icense o. <br /> �r�? <br /> ontract nce o or roposed Use o ui ding <br /> �?� . �� <br /> Z��.�6 C'ec...,r-. :,.s /-I .��� � - -- <br /> ro�ect ddress . � <br /> Discription of Work To Be Donc: 7�A��� :$rr2vt�L <br /> �f�l� " <br /> 11 <br /> 1_I ;.,� <br /> I'1 <br /> 1_I <br /> NOTE: WAC 296-46-140 REOUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES . <br /> '�1 BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE APPROVED PLANS BEFORE A <br /> CITY OF EVERETT PERMIT WILL BE ISSUEO. <br /> 1�I NOTE: WIRING IN NON-DKELLINCS IS REOUIRED TO BE IN CONDUIT. . <br /> ��' 1 HEREBY CERTIFY THAT I HAVE READ ANO' EXAMINED THIS s <br /> APPUCATION AND KNOW THE SAME TO 8E TRUE AND COflRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVEPNING THIS TYPE OF <br /> '�' WORK WILL BE COMPIETED WITH WHETHER SPECIFIED HEREIN OR � <br /> � NOT. THE GFiANTING OF A PEFiM1T DOES NOT PRESUME TO GIVE <br /> AUTHOFITY TO VIOLATE OF CANCEL THE PROVISIONS OF ANY _� <br /> 1�I OTHEF STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUC710N.TF'.AT I AM AUTHORRED BY THE � ?� <br /> '� OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH FEE ��) � <br /> �' APPLICATION IS MADE AND I COMPLY WITH THE 57ATE . <br /> ' CONTFACTORS LA\Y 1827 FCW AND 296200 WAC. <br /> � i � <br /> _ X .,�::, �l �.��� , -� ° <br /> ' -�. ::. �.l �-.y ,z �� <br /> - , <br /> Signature Date � � <br /> I '. <br /> i <br />