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pPPLICATION FaR ELEC'1"RICAL PEHMIT � <br /> �ITV OF <br /> y �H everett - <br /> � �� BUILDING DEPARTMENT ' <br /> �p�x 259�8810 i <br /> t" H f/� <br /> y �ZH �,,.�� 9�Zc/ a f'8•y33/ <br /> �c o � 3S/'� �4o.n�w�i no�� <br /> H CTl (/'nr r.. h[� tp <br /> ncr a dEress tY <br /> � V7 I—i �f}yJ7(� � none -- <br /> H �" p�� Otlress ��Y P <br /> x x 3 enant <br /> Oyd ����/ <br /> honc cense # <br /> O <br /> c ectncal ontractor ai d ress �Y P <br /> � � g � <br /> 4�� O ropasc sc o u� d�ng ; <br /> ~ ontract n te o Mor " <br /> zy� ' <br /> ; <br /> � H y �o,��t ec��s5 Lo � .b � <br /> ge y �yi � - � V��., C��r� �� �'�r.._.� <br /> � � � �cription��dc one: � <br /> ! <br /> H O l/� ' ot1 � <br /> : <br /> � / �, i� /��M '. <br /> : <br /> � <br /> � <br /> � � <br /> '�� � <br /> �� <br /> ' NOTE: WAC 296-46-140 REOUIRES THAT PLAtlS FOR ELECTRICAL WORK AT EDUCAT104M1L� INSTITUTIONAL OR N[M1LtH CARE FACILIT ; <br /> BE APPROVED �Y THE STATE OF NASHINGTON. APPLICANTS WITki SUCH JOBS HU57 SHOW THE STATE APPROVED PLANS BEFORE A e <br /> � CITY OF EVERETT PCRMiT WILL BE ISSUED. <br /> '�! <br /> i �� NDTE: NIRING IN NON-OWELLINGS IS REOUIRED TO BE IN H"tTAL RACEWAYS. <br /> � <br /> I_'= I HEREBY CERTIFY THAT 1 HAVE READ ANC E%AMINED THIS ; <br /> � APPLICATION AND KNOW THE SAA1E TO BE TRUE A�D CORRECT.ALL , <br /> PROVISIONS OF IAWS AND OFDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIE�HEREIN OR f <br /> .�` NOT.THE GRANTING OF A PERMIT DOES NOT PFESUME TO GIVE � <br /> =1 t AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY / /L , <br /> OTHER STATE OR LOCAL LAW FEGULATING GONSIRUCTION OR THE <br /> PEFFORMANCE OF CONSTRUCTION.THAT 1 AM AUTHORI2ED BY THE �, � <br /> O�'dNER OF THIS PROPERN 70 PERFORM THE VdORK FOR WHICH FEE _ � <br /> I '�_ , qPPLICATION IS MADE AND I COMPLY WITH TNE STATE � <br /> I ' CONTFAGTORS lAW 18.27 RGW AND 296.200 WAC. <br /> � �� t <br /> � �,,�r �-� 7 9� � �i� l ; <br /> Date <br /> $;gnatur . '. <br />