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. APPLI`ATION FOR ELECTRI�,�L PERMIT <br /> everett <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> 1 n ( �O <br /> / /`^ c .r}- �l <br /> �Y\ �i.Nn^-� ��C� � �FuJ �`ic19e I-�I� F�PI"PII ps ; - l� a- <br /> er � .a ress t � <br /> Y P 'hone <br /> S l9 a�1 r <br /> enant a ress t <br /> Y P one <br /> ectr ea ntractor „ S�—5 <br /> �j/� ress ty pn one cenae <br /> '� �Oli�.j S� ^ <br /> ontract r ce o o rapose se o u a�ng <br /> ro ect reas ��, v� e� I( I L{G Q ��` <br /> /iL/cf l�Pc'�,^n� (yc,�� �`� ✓'�n T� 1✓'_ rt_N�f� /c/'�Q�t�i t�r <br /> scr pt on o or o one <br /> _�P�,�-CJ�^-� ol�� !'I P"'J U I.�c� fc� l�� � i,-Pc <br /> . NOTE: MAC 296-46-iK0 REOUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR NEALTH CARE fACILITIE! <br /> BE APPROVEU BY THE STATE OF MASHINGTON. APPLICANTS MITH SUCH JOBS MUST SNOM THE STATE APpROVED PUNS BEFORE I <br /> CITY OF EVERETT PERMIT XILL BE ISSUED. <br /> NOTE: MIRINC IN NON-DWELLINGS IS REOUIRED TO BE IN METAL RACEWAYS. <br /> I HERC�BY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLI'„ATION AND KNOW THE SAME TO BE TAUE AND CORRECT.ALL <br /> PRO'JISIONS OF UWS AND OHDINANCES GOVERN�NG THIS TYPE OF <br /> WORK WILL 8E COMPLETED WITH WHETHER SPECIFIED HEREIN OR � <br /> NOT. THE �RANTINC, OF :. PERMIT DOES NOT PqESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OFi LOCAL LAW REGUTATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFOAM THE WORK FOR WHICH FEE <br /> APPLICATION �IS MADE ANO I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br /> � / / � <br /> X ��/��J'/ 1 <br /> —=�.----1 �/— 2 7. —Jl <br /> � <br /> Signa re Date � <br /> �/U���� � <br />