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APPLICAT. )N FOR ELECTRICAL ERMIT <br /> CITV OF <br /> everett <br /> BUILOING DEPARTMENT <br /> 259-8810 � <br /> Adventure Homes 22928 57th A.ve SE, Woodinville 'r7A 98072 <br /> ner ei ddrees ty D �^e <br /> enanr a tlCrass �Y P °"Q 335-7754 <br /> Snohomish Electric, Inc. P O Box 278, Snohomish, Wt+ 98290 SNOHOEI110PW <br /> eetr ca oatractor a ress ty p . one eense <br /> oneract n ce o or ropose se o u� �ng <br /> 6134 1�t Dr SE. , Everett <br /> ro�eet ddress <br /> temporary service <br /> �eenpbon o Mork o e one: <br /> NOTE: WAC 296-46-140 REpU1RE5 THAT PLANS FOR ELECTRICAL MORR AT EUUCATIONAL� INSTITUTIONAL OR HEAITH CARE FAC�LITIES <br /> BE APPROVED BY THE STATE OF XASHINGTON. APPLICANTS MITH SUCH JOBS MUST SHOM THE STATE APPROVED PLANS BEFORE A <br /> C17Y OF EVERETT PERMIT MILL BE ISSUED. <br /> NOTE: NIRING IN NON-DMELLINGS IS REOUIRED TO BE IN CONDUIT. <br /> 1 HEREBY CERTIFY THAT I HAVE REAO AND 'eXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AN�ORDINANCES GOVERNING THIS TVPE OF <br /> WORK WIIL Bc COMPLETED WRH WHETHER SPECIFIED HEREIN OR <br /> 40T. THE GPANTING OF A PERMIT OOES MOT PRESUME TO GIVE <br /> AUTHO'91TV TO VIOLATE Ofi CANCEL THE PROVISIONS OF ANV <br /> OTHER STATE OR IOCAL LA'N REGULATING CCNSTRUCTION OR iHE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORRE�1Y THE 3 5.OO <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH FEE <br /> APPLICATION IS MADE AND I COMPI.V WITH THE STATE <br /> CONTRACTORS lAW 18.27 RCW AND 296.200 WAC. <br /> \x <br /> n CLu�t�, l,u�n v� <br /> Signal te Date <br /> �// 7`-�� <br />