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APPLICAT�N FOR ELECTRICAL .p�RMIT <br /> CITY OF <br /> everett <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> -� (.c/z�l �a�/�(�L�J U1 (i 2 5— 7vr-c ✓�°�:�� �/�?r�3 `1 S'� - �� `n 7 <br /> ner MaiT Addres� Ci� � ° hone <br /> �� � s� vVl -e <br /> enant Mai ddress ity ip hone <br /> �`���/e ` /a-zn�l s.k� s-so,ul- A���, rdL"l 9�'�3 ��35 8��o�,d�—/�L7�',�� �v�9Q�b <br /> ecinca on ractor Mai��ess '.�y � Iip � ho�e License�J�`� <br /> �.S-�� �:ci�, <br /> ontract rtee o Wor roposed se o1� u1TEing <br /> � �� � —rv.�Q �c,.� r�--,c�A- <br /> F�O�ect ddress <br /> iscription nf Work o e one: <br /> _ Se�'vr'c�e cU(a uta e—�+�OqV'a�-e � �. Od ���� 5�'v' �c <br /> ne �� h�y���u�� -�o l�ofi �.iQ�t�- f�.� � <br /> NOTE: WAC 296-46-140 REOUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTIiUTIONAL OR HF1lLTH CARE FACILITIES <br /> BE APPRGVED BY THE STATE OF MASHINGTON. APPLICANTS WITH SUCH J005 MUST SHOW THE STATE APPROVEa PLANS 6EFORE A <br /> CITY OF EVERETT PERMiT WILL BE ISSUED. <br /> NOTE: WIRING IN NON-D�'ELLINGS IS REOUIR:D TO BE IN CONDUIT. <br /> i HEREBY CERTIFY THAT I HAVE REAO AND EXAAIINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> FR7VISIONS OF LAWS ANO ORDINANCES GOVERNING THIS NPE OF <br /> WOFK WiLL BE COMPLETED WITH WHE7HER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NO? PRESUME TO GIVE <br /> �:UTHOFITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING GONSTRUCTION OR THE <br /> PEP.FORMANCE OF CONSTqUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PFiOPERTY TO PERFORM THE WORK FOF WHICH FEE � � <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE — <br /> CONTRACTORS LAW 782?RCW AND 296200 WAC. <br /> X�1 C, � n / ( �l -� <br /> gnatur Date <br /> �a�7 <br /> � <br /> � <br />