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APPLICATIvN FOR ELECTRICAL rtRIIAIT <br /> , ,- � � <br /> un oF <br /> everett <br /> BUILDING DEPARTMENT <br /> y �H 259•8810 � <br /> �M� <br /> A � x / <br /> > yN � m <br /> ns [� ion �.5�`{ �Qr�oadt�n vei�L� L� 99.Z0/ �758� 'f33/ <br /> yy <br /> a H ���� a ddres�s—��� P hana <br /> z .��A <br /> O x O enan ai �sa CY P hane <br /> � � � �E� <br /> [A H � <br /> y x ec[r cj �onGrac[or a -1Pddress Z C�� Ph°^a cense <br /> �' Q � �//� <br /> �y ontr ct r ce o 'or ropose se o u ng � <br /> � [T7b T7 <�/..Z ''� i�/..- :��.�rj� , i .� <br /> ❑❑3 ro ect d refs <br /> 9Hz � . � � u �rdic¢� . <br /> ty <br /> H H iscript on o Work o e one: - <br /> g �' <br /> N <br /> C'] C fn <br /> � �M <br /> xH�n <br /> HOtn <br /> i <br /> �70TE: WRC 196-46-140 REOUIRES THAT PlANS FOR ELECiRICAL WORN AT EDUUTIONRL� INSiITUTIONAL OR HEALTH CAPE FACII.ITIES <br /> I1�� BE APPROVED 8Y THE STATE OF XASHINGTON. APPLICANTS NITH SUCH JO85 MUST SHOM THE STATE APPROVEO PLANS BCFORE A <br /> 4��I CITY OF EVEP.ETT PERNIi MILL BE ISSUEU. <br /> NOTE: WIflINC IN NON-OWELlRIGS IS REQUIRED TO BE �N CCNDUIT. <br /> � '�_ <br /> I _' <br /> I HEREBY CEFiTIFY THAT 1 HAVE FEAD AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TQ BE TRUE AND COFPECL AlL � <br /> � PfiOVISI0N9 OF LAWS AND OFiDIIJANCES GOVEFNINO THIS NPE OF , <br /> �'_' WOpK'rVIIL BE COMPLETEO WITH WHETHEH SPECIFIED HEREIN OFi <br /> � NOT. THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PflOVISIONS OF ANY <br /> OTHER STATE OR LOCAL VlW REGULATING CONSTRUCTION OR THE <br /> PEFFORMANCE OF CONSTRUCiION.THAT I AM AUTHORIZED BY THE . <br /> �_ OWNER OF THIS PROPERTY TO PEFiFORM THE WORK FOR WHICH FEE <br /> r APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> i � CONTRACTOFS LAW 16.27 RCW AND 296.200 WAC. <br /> ; ���I X � ' . � <br /> � n --�-- � //�;� _. <br /> Signature Date <br /> 3� a `�S <br />