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APPLI - ATION FOR ELECTRI, aL PERMIT <br /> cmoF <br /> everett <br /> BUILDING DEPAflTMENT <br /> 259-8810 <br /> � M� <br /> A� x <br /> Ca H <br /> t' y N <br /> H �� �e�— Mai Addross ity �p hone <br /> r , � <br /> ,. � <br /> H H ' t �� ir� � . ;�,' ,,.L,' >:(L � ,1.�` ' /�/ ' <br /> � y "�.tl � . ' .i:�� , � :� `- a dress ity ip hone <br /> anant� <br /> '�alH � <br /> NN <br /> xx ectn ca ontractor ai ress ty p one �cen A ,� <br /> H t' <br /> [��..,yc <br /> LTI O� i '� G 'i - !� � � '� �b�i„d ' ��� ..��.,�'j ���/CSt�l�-4 <br /> ye �' � J �Y �l��f�s lCrt� l �'3c � i� T �' � �rr'� <br /> i ' ro ose se o u ing <br /> O H � � ontract n ce � or/.� / ) P / <br /> �� � �G �(c �Sl� r 1 ��! / "��t' ��C l � '(� ( � ��'i���-1� " <br /> H r� r �ect Adaress <br /> �yZ -S�� �� 4 ����� . .�� �;� ���`/'— _ <br /> H y 6iscr/t�pt on o�Wor o e one: <br /> � �� .�l t � S � � � <br /> � �" '1� s� - <br /> xyc�n Cu 5'�'�� /� ^ l���' l�' � Y �C� - <br /> H O tn n / ,,, S <br /> � � �� j, r"� C.1� S L ( � <br /> � /— �l�` � r c � '� �1� <br /> i <br /> NOTE: WAC 296-46-740 REQUIRES THAT PUNS FOR ELECTRICAL WORK AT EDUCATIONAL� INST�TUTIOHAL OR NEAITH CARE FACILITIE: <br /> I '�w BE APPROVED BY THE STATE OF WASHINCTON. APPLICANTS WITH SUCH JOBS HUST SHOW THE STATE APPROVED PlANS BEFORE � <br /> �oI CITY OF EVERETT PERMIT WILL 8E ISSUED. <br /> NOTE: WIRINC IN NON-OWELLINGS IS REO�IRED TO 8E IN METAL RACEWAYS. <br /> �� <br /> I ;� <br /> I HEREBY C[RTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> �, PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS NPE OF . <br /> _1_ WORK WILL BF COMPLETED WITH\YHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL IAW REGULATING CONSTFlUCTION OR THE `.i; <br /> � PERFORMANCE OF CONSTftUCTION.THAT I AM AUTHORIZED BY THE `',-� , <br /> r1_ OWNER OF THIS PROPERIY TO PERFORM THE WORK POR WHICH FEE - <br /> � APPIICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296.2D0 WAC. <br /> �' <br /> �1 1 X / � c'r � <br /> �� -�". . s.� � .. .� 3-� <br /> � .Si naCu e Date <br /> � <br /> / <br /> � � <br /> ;���J <br /> � � <br />