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� ,-� � <br /> ��I od3W <br /> APPLICATION FOR ELECTRI�AL PERMIT <br /> vQre#t - <br /> JILDING DEPARTMENT • <br /> :9-8810 <br /> h <br /> 'F <br /> >� <br /> . �ne�� ��I�a �'/ res� t�L p L���1.J3 <br /> nant a tlCress ty p <br /> hone LlY1 �' <br /> �Il� �I�c�'Pac A..���,( "�y2U�(p,vn !Na 51�3 eB?-4ub L/l�,�c�r��wc3 ��: <br /> ectr aa ontroctor ai dtlress ty �.�— hon���cense , <br /> :� <br /> '� <br /> mtrac r ee o or , ropose se o u ng <br /> �. <br /> , �7,�L� 'T� G� : <br /> 7 �ect�Oress � <br /> �N �E <br /> sc��on oT�or o a one: � <br /> � Z00 ANlp �,j�llf F �' <br /> N <br /> r <br /> � � <br /> ii <br /> N <br /> � � <br /> �� <br /> �. <br /> N <br /> � )TE: MAC 296-�6�140 flE0U1RE5 TFUT PLANS FOR ELECTRICAL XORK AT EOUCATIONAL� INSTITUTION�L OR HEALTH CARE FACILITIES <br /> � BE APPROVED BY THE STATE OF NASHINGTON. APPLICANTS MITH SUCH JOBS MUST SHOX THE STATE APPROVED PLANS BEFORE A � <br /> CITY OF EVERETT PERMIT MILL BE ISSUED. ';� <br /> 7TE: MIRINC IN NON-ONELLINCS IS REOUIRED TO BE IN METAL RACEW�YS. <br /> !j <br /> I HEREBY CERTIFY THAT I HAVE READ AND EJ(AMINED THIS 's, <br /> AppUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL F: <br /> PROVISIONS OF UWS AND ORDINANCES OOVEHNING THIS TYPE OF . <br /> WORK WILL BE COMPLETED WITH WH°THER SPECIFIED HEREIN OR � <br /> NOT. THE ORANTING OF A PERMIT DOES NOT PRESUME TO OIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY ,: <br /> OTHER STATE OR LOCAL UW RE6UUTING CCNSTRUCTION OH THE f: <br /> PERFOHMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE ��� <br /> OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH FEE j�� S• <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE � a <br /> CpNTRACTORS LAW 18.27 RCW AND 296.200 WAC. � <br /> X 7tJ.,�.LG,,,... Q. `7�1.ticE 3/rs/93 <br /> $;gnature Date . <br />