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��� <br /> A � x <br /> u H <br /> 9H � <br /> y�H APPI.ICATI(,�J FOR ELECTRICAL F :RMIT <br /> K � <br /> H �7 <br /> 'i1 1-�i '� <br /> U1 H <br /> .� LITV OF <br /> �� d evere#t <br /> H <br /> BUILDING DEPART�.IENT <br /> �� g 2ss-ae�o <br /> t"y� <br /> x <br /> HH <br /> g y H '� �� / '(�� ��! iL �r.-?� /:1'`�S<.'- .i/i7fc7G- •�J'C�// G�'/-�jlcC <br /> OCyVJ ner Mail Atltlross lity ip �one <br /> �� Ci1 <br /> z y N enant Mai EO�ess ity ip honc � <br /> HO �n <br /> fdf LL:Y.-,<ic, •y:e. N:�- ; L,..� .- .rt':i<'J .irr z� �la:-r. .�5��. �'�J.��S' �:��-cc=1�+c.�3�y , ,� <br /> ectn ca 6aneractor ai Udress l+ty �p hone �cense i . �,'� <br /> �?� � <br /> lontract n ce ot 'Nork ropase� se or ui d�ng <br /> �.�� / ��y��f� ./�� _�� �� . ., . �.- <br /> roJect Aadress <br /> � I� � <br /> �iSCfia[icn ot Nofk i0 �e OnC: <br /> � �.��� ��'.Z L.j« I ;; <br /> iC� <br /> I <br /> 1 ��', . <br /> �_� NOTE: WAC 296-46-iM10 REOUIRES THAT PLANS FOR ELECTRICAL WORK AT ED'JCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> BE APPROVE� BY THE STATE OF WASHINGTON. APPLIC.INTS WITH SUCH JOBS MUST SHOW THE STATE APPROVED PLANS BEFORE A <br /> � CITY OF EVERETT PERMIT WILL BE ISSUED. <br /> NOTE: 'dIRItJG IN N04-OWELLINGS IS REOUIRED TO BE IN I!ETAL RACE'dAYS. <br /> I � <br /> I HEREBY CERTIFY THAT I HAVE FiEAD AND EXAMINED THIS <br /> �'� APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> ► PROVISIONS OF U1WS AND ORDINANCES GOVEfiNING THIS NPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GFANTING OF A PERMIT OOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEI THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAI LAW REGULATING CONSTRUCTION OR THE _ �i �-; <br /> � !t� PERFORMANCE OF CONSTflUCT10N.THAT I AM AUTHORIZED BY THE ���, � <br /> ' OWNER OF THIS PROPERN TO PERFORM THE WORK FOR WHICH FEE '—� �� " <br /> I APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br /> \ t X��/!��f�2��� ��� ��f� f,' <br /> Signature �) Date <br /> _ , _ . . <br />