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APPLICt�'ION FOR ELECTRICti� PERMIT <br /> cm oF <br /> everett <br /> � r� BUILDING DEPARTMENT <br /> a H 259•8810 <br /> Cy � H <br /> tyHtn <br /> ��� �l�{�1� I�. I��l�>SG� ��F3�!i'c`�`�! {�ktvL C��1z�,-r-1- 2�Z-�a�, <br /> O �O �er Mai Adares ty ip hone <br /> �U M 'il <br /> UJ H <br /> xy enant ai Etlress Sty p hone <br /> [*7 y� �JV��t�.��.—�Z . <br /> O H ectn ca ontrac[or ai dtlress ty ip hone icense # <br /> H �g <br /> ontract n ce o Wor ���� <br /> Y� n ropose se o ui tl ng <br /> Z H� '__�\1`-'{� <br /> H <br /> � H y ro�ect Edress <br /> g�' <br /> H <br /> C717C� iscriptfon of Work o e one: <br /> �� � �!t rz�c t`��nr C�,Af�(b-L�.' -- �ICUi--1� hsJl� dJTL�� <br /> HO [n <br /> �� <br /> , <br /> � �� <br /> �� NOTE: WAC 296-46-140 RFqUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL� INSTITUTfONAL OR HEALTH CARE fACILITiES <br /> BE APPROVED BY THE STATE OF MASHINCTOH. APPLICAHTS WITH SUCH JOBS HUST SHOW THE STATE APPROVED PUNS BEFORE A <br /> CITY OF EVERETT PERNIT WILL BE ISSUED. <br /> � �� NOTE: WIRING IN NON-OWELLINGS IS REpUIftED TO BE IN METAL RACENAYS. <br /> �I �= <br /> ,�� 1 HEREBY CERTIFY THAT I HAVE flEAD AND EXAMINED THIS <br /> +�I I APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVEFNING THIS NPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR � <br /> NOT. Tf{E GF'YTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> � AUTNORITY i0 VIOLATE OR CANCEL THE PROV�SIONS OF ANY <br /> ,�1� OTHEfl STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> i PERFOFMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE _ -{: <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH FEE Z J � <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE - <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X �-1�-�lti i'� ' V�""^��'�t _ �Z��Z <br /> Signature Date � <br /> J <br /> i <br /> � <br /> � l <br />