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APPLICAI"ION FOR ELECTRICAL PERMIT <br /> CITY OF EVEREfT <br /> � / r I BUIIDING DIYISION <br /> ^ 3200 CFDNt STREET <br /> �' v EVERETT� IIA 98201 <br /> 2ss-asro <br /> . ,�� �!'//D ' � �/� � � i, l�i� .S�'/-37�7 <br /> �ty tate ip hone <br /> ner ai d ress <br /> � ty tate �p hone <br /> eoant �_ a ress <br /> J^ � <br /> � -�Pc, �7.0 41�- -�t< � "_ .^ � �1 9�0.�`/ 8-Za Yl �l�LG'�z.983dA <br /> �t tate ip hone tate icense o. <br /> ectr ca ontractor ai ress Y <br /> ontract r ce o or roposed Use o ui ding <br /> r���-�,� I5�' �� SG �i-i �'� _ <br /> �ro�ee[Add�ess <br /> Discription of Mork To Be Done: <br /> - � �Iz <br /> NOTE: BE�APPROVED�BY TNEUSTATETOFTWA HINGTON.E`APPLICANTS�WITHTSUCHCJ085NMUSTISHOWTTHEOSTATERAPF20VED PIANSABEFOREEA <br /> CITY OF EVERETT PERMIT WILL BE ISSUED. . • <br /> NGTE: WIRII;G IN NON-DWELLINCS IS REOUIRED�TO BE IN CONDUIT. . .. <br /> I HEREBY CERTIFY THAT 1 HAVE REAO AND' EXAMINED THIS <br /> APPLICATON AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND OFDINANCES GOVEFNING THIS TYPE OF <br /> OT. T E GRANT�G OF AD ERMIT DOESFNOT PR'ESUME TO GI�VE <br /> AUTHORITY TO VIOIATE OFi CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OP THE <br /> PERFORMANCE OF CONSTAUCTION.THAT I AM AUTH�PoZED BY THE �'J <br /> OWNER OF THIS PNOPERTY TO PEF'=ORM THE WORK FOR WHICH FEE <br /> CONTRACTO 5 UW 1�8.27 RCW AND 96.200 WAC. ITH THE STATE <br /> X .� i � � -%i ,� �1 -i���2 3��� 7 3 <br /> a,�� �� � oa« <br /> —' Signature , <br />