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APPLICATlON FOR ELECTRICAL PERAIIT <br /> ITV OF <br /> y � H nverE�tt <br /> x r � 3UILDING DEPARTMENT <br /> A �x 259•8810 � -�— . <br /> � H I� <br /> � HC/� <br /> y � r�i g'��..�{� 9�zo i �R S£�. �1>3/ <br /> K � ,��aM G.- .z-� �s�y ,4,,..bW^, <br /> O x O ner Ma Eress Yy p honc <br /> '� N �{I S�!'N C <br /> V7 N <br /> en� y�� a tldress ity �p hone <br /> � H� J�M� —_ <br /> t ectnca ontractor a� dress �ty p �one icense A <br /> H � g <br /> �- � <br /> zyHG �� . nce o Wor roposc sc o u� ing <br /> t" yx — <br /> N y . ro ect tldress <br /> ga' H � �jOl- V;r.,, C��� r .=ti�e �,.r�e � �o: S <br /> o t7�n ---- <br /> �� � iscnp[�on o Work o e one: <br /> xr3cn <br /> HOtn ' <br /> ,��;A ���,� <br /> �� <br /> �� NOiE: WAC 296-46-140 REOUIRES THAT PLANS fOR ELECTRICAL WORK AT E�UCATIONAL, INST�iUlIONAL OR HEALTH ChRE FAd LITIES <br /> BE APPROVED BY THE STATE OF WASIiINGTON. APPLICANTS XITH SUCIi J0�5 M1157 SI10W THE STATE �1PPROVED PLAIlS BEFORE A <br /> CITY OF EVERETT PER.NIT WILL [iE ISSUED. <br /> i '�� <br /> 1 NOTE: KIRING IN NON-DWELLINGS IS REOUIRED TU BE IN METAL RACEwAYS. <br /> �� <br /> 1 HEREBY CERTI�Y THA7 I HAVE READ AND EXAMINED THIS <br /> � '�� APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> '� PFOVISIONS OP IAWS AN�ORDINANCES GOVERNING THIS NPE OP <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A P[HMIT OOES NOT PRESUME TO GIVE <br /> �1� AUThiORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> � OTHEH STATE OR LOCAL LAW REGULAI 3 CONSTRUCTION OR THE <br /> PERFOPMANCE OP CONS7RUC710N.THAT I Aid AUTHOflIZED BY THE �J�'-t' <br /> O�'�'NER OF TkiIS PROPERN TO PERFORM THE WORK FOR WH�CH FEE <br /> APPLICATION IS MADE ANC� I COMPLY WITH THE STATE <br /> ='=' CONTRACTORS IAW 18.27 RCW AND 296200 WAC. <br /> X/- /�R, Q,`.�J' 3�7'`%�— , <br /> Signaturc <br /> oace �(G � �`'� <br />