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_ : i _� � � <br /> ' � ! f <br /> '_ <br /> i <br /> 1 <br /> �e'1 <br /> a� APPLICAT�I FOR ELECTRICAL rERMIT <br /> C� <br /> �ITv OF <br /> �� . e��ere#t � <br /> ��� BUILDING DEPARTMENT <br /> 259-8810 3 � <br /> �Si a � `c�a �S�-�23 <br /> Q' ` ���' 1 <br /> �y .E�/ r �� <br /> Owncr Ma{l�liEaress 6 t�-Zip�hone <br /> �' L/y9 3 <br /> � enant ai rldress �ty ip 'hone <br /> �� �a� �! F�P�x,cu -Pl�rs �'.,�.�,r r�8a 9ztG /�«.Et.er�c/o�lc3 <br /> � ectnca l.on[ractor Mai ddress � ip �hone �cense A <br /> '� ' � antrac[ r� o�Wor rop� se ot ui d ng <br /> Go r 2 3 00 /5 �3 . �E <br /> ro)ect ddress <br /> I <br /> 15crip[ion of 'Aork o e Uone: � <br /> Z o � <br /> f C��' <br /> ',{ ' . <br /> � <br /> - <br /> � _, <br /> NOTE: WAC 296-46-140 REOUIRES THAT PUNS FOR ELECTRICAL WORK AT E�UCATIONAL, INSTITUTIONAL CR HEALTH CARE FACILITIES <br /> BE APPROVED BY THE STAfE OF WASHINGTON. APPLICANTS WITH SUC11 J005 t1U5T SIiOW THE SiATE APPROVEU PLM1NS BEFORE A <br /> i CITY OF EVERETT PERMIT WILL BE ISSUED. <br /> � <br /> - I �� � NDTE: MIRING IH NON-OWELLINGS IS REOUIRED TO BE IN METAL RACEWAYS. <br /> � <br /> � I�1 1 I HEREBY CERTIFY THAT I HAVE READ AND EXAM�NED THIS <br /> '� APPLICATION AND KNOW THE SAME TO BE TRUE AND CO(7RECT.ALL <br /> PROVISIONS OF LAWS ANO OFDINANCES GOVERNING THIS TYPE OF <br /> WORK WILI BE COMPLETED WITH WHETH[R SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A FERMIT DOES NOT PRESUME TO GIVE <br /> � AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> � �► OTHER STATE OR LOCAL LAW REGUUITING CONSTRUCTION OR THE <br /> � PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHOFIZED BY THE <br /> .I OWNER OF THIS PflOPERN TO PERfORM THE WORK FOR WHICH FEE 3�-r.00 <br /> APPLICATION IS MADE AND I �OMPLY WI7li THE $TATE <br /> I �t�� CONTRACTORS LAW 18.27 RCW ANO 296.200 WAC. <br /> \ <br /> \ X . <br /> D �o �- a �� �/28/92 <br /> Signrturc ��d° ���� <br /> J <br /> I ' <br />