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APPLICATIvN FOR ELECTRICAL FtRMIT <br /> �_c� � z- � � <br /> CITY OF <br /> everett <br /> BUILDING OEPARTMENT , <br /> ��� 259 88t0 <br /> .o xl x <br /> � y � �' / .�J��'S� �Qroao�u�nt/ �✓ere� LU.f 9�',ZD/ �7.58-��.33/ <br /> H � 3 J�pn /1 S�ClGL/D✓1 hone <br /> � n Cnner� a Addreu �Y P <br /> H'.i1 " <br /> O x O � a d reee ty p one <br /> 'i1 � H endn <br /> xz E a�a censa <br /> [� p� ect,r/c ontractor a� reu �Y P <br /> y N / <br /> H �j g on[r ct r ce o ' or ropose sa o u C n9 � <br /> 4]• C] . <br /> H2' Hp �,L ��/.'j , .f- , ., . <br /> � y z ro eci ddresf <br /> ti H � ' u 2rdiG¢� <br /> g N iscript an a Wor• o e one: <br /> N <br /> C] C1 C/� <br /> �� M <br /> zH [n <br /> HOtn <br /> 1 <br /> I �� tlp7g; WpC 296-46-140 fiEOUIflES THAT PLANS FOR ELECiRIUL WORN AT EDUCATIOtIAL, INiTIiUiIONRL OR HEAIiH CARE FAU LITIES <br /> '��I DE APfROVEO BY TNE STATE OF MASHINGTON. APPLICANTS MITH SUCH JG65 '�UST SRON iHE SiATE AFPROVED PUNS �EFOAE A <br /> CIiY OF EVERETT PERMIT NILL 9E ISSUED. <br /> NOTE: WIRINC IN NON-OWELLINGS IS REpUIflED TO BE IN CON�UIT. <br /> � <br /> � ��� <br /> I HEREBY CERTIFY THAT 1 HAVE NEAD AND E%AMINEO THIS <br /> �� APPLICATION AND KNOW THE SAME TO BE TRUE AND COPRECT.Al! <br /> =1= PpOVISIONS OF LAWS AND OPOINANCES GOVERNINO iNIS TYPE OF . <br /> WOAK WILL BE COMPLETED WITH WHEIHER SPECIFIED HEREIN OR <br /> NOT. THE GFANTING OF A PERMIT OOES NOT PRESUME TO GIV[ <br /> AUTNORITY TO VIOLATE OF CANCEL THE PflOVISIONS Of ANY <br /> � OTHER STATE OR LOCAL LAW REGULATING CONSTFiUCT10N O!1 TNE <br /> I , ' PERFORMANCE OF COIJSTRUCTION.THAT I AM AUTHOfiIZED BY THE . <br /> ' � OWNER OF THIS PF70PERTY TO PERFORM THt'i iORK FOR WHICH FEE <br /> APPLICATION IS MADE AND I COMFLY WITH THE STATE <br /> CONiF7AC70R5lAW 18.27 RCW AND 296.200 WAC. <br /> ' . <br /> ��. X _ l . � , . <br /> � f_�7 ���j�- <br /> - � � 1��f9 fi ', _. _ , <br /> Signature Oate r [ / <br /> �� a�� "' <br />