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APPLICATIGi� FOR ELECTRICAL PCRMIT <br /> vere#t , , � ; , � <br /> UILDING DEPARTP,IENT �� � <br /> �9 8810 <br /> p '�y�-72�'� <br /> n /0� � <br /> � �� I�a�.�n � 5�5_ Cv��- �ii��-��" �,o�� <br /> nner <br /> Ma ddress ��Y P <br /> 5 a �dJress l ty p honc <br /> „�a�� 94z�-� �i� r���8 �-�DEA1.E��94/fP <br /> / 4 " ��.C�A/,� l� �� r <br /> ""r�' ( � �CC'���C �� � l [ip hane Ltcense • <br /> ' ectr ca 6on raccor 1ai a �rcss Y ���� <br /> . ropole sc o u� ��9 <br /> on[ract r cc o 'Nor <br /> `ro,7ect ddress <br /> �is ;ipt on o Work o c Uone: ��� � . <br /> f f / � � (� �� i 'f'r Vl / �' Vl <br /> l� <br /> iOiE: BECAPPROVED�BY �THEUSTATETOFTWA51'INGTOI.EL«'�UCANTS WI7HTSUDUC�OOSNNUSTISiONTif1E STATERAPPROVED PI.ANSnBEFOREEA <br /> CITY OF EVERETT PERMIT WILL �E ISSUED. <br /> IOTE: WIRING IN N011-DWELLIIIGS IS REOUIRED TO EE I11 I�IETAL RA�EWAYS. <br /> I HEREBY CERT' "Y THAT I HAVE AEAD �NU EX�MINED TfiIS <br /> APPUCATION AND �WOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS Of U WS AND ORDINANCE3 GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLETED WITH VJFIETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE / <br /> AUTHORITY TO VIOLATE Ofl CANCEL THE PROVISIONS OF ANY / , <br /> OiHER STATE OR LOCAL LAW REGUTATING CONSTRUCTION OR TNE / <br /> PERFORMANCE(1F CONSTRUCTION.THAT I AM AUTHORIZED BY THE ��y, ,7`, <br /> pWNER OF TNIS PROPERTY TO PERFORM THE WORK FOFi WHICN FEE � <br /> APPLICATION IS MADE ANO I COMPLY WITH THE STATE <br /> CONTRACTORS IAW 1827 RCW AND 296200 WAC. <br /> X ��� <br /> n,,,�,/iz�-��;x9`J�-�..Q ��� � <br /> Date <br /> Si neture <br /> �� 77 � <br /> �-? . <br />