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�t�'� <br />h7 <br />>�H <br />N <br />ti <br />H�� <br />K o <br />Ox0 <br />'� F� 'i1 <br />VJ H <br />t�l O � <br />OHd <br />H�g <br />(i] Y (] <br />�H� <br />z <br />HH <br />� <br />(�C7(�n <br />� � i�i <br />HOfyi� <br />� <br />� ' <br />APPLICATION FQR ELEt;TRICAL PERMIT <br />:ITV OF <br />everett <br />BUILDING DEPARTMENT <br />259-8810 <br />�' 1�1� v �� <br />y9J� ����st�';r�� �,- ��,-:�t1- �da��> <br />ddress tty p hone <br />.�o�� 3 :j % -J ��. z/ <br />���a�� a� ddress ty ip hone <br />�i L.�i�,2 r <br />e ectn ea ontrac[or a ddress ty p hone icense F <br />ontract n ce o Wor ropo5c sc o u� tling � <br />j<t ✓�^t�� [':5 Gl �J li �' <br />Fro�ect tlaress — ' <br />l� L I <br />_I—L�SI c� II � l�O C�`^^r jr"r'JiCf j7q•t i� Gi.�c'A V\f'l.W . <br />� lI, <br />�C\✓`'\11,/ �O�]i^'� Ni�1X.q_�IOv� <br />NDTE: WAC 296-46-140 REOUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCAtIONAL� INSTItUTIONAL OR HEALTH CARE FACILITIES <br />BE APPROVED OY iHE STATE OF WpSHINGTCN. APPLICANTS NITH SUCN JO�S 11UST SHOW TI{E STAtE APPROVED PLANS BEFORE A <br />CITY OF EVERETT PERMI7 WILL BE ISSUED. <br />NOTE: WIRRlC IN NON-DM'ELLINGS IS REOUTAED TO �E R� METAL RACEKAYS. <br />0 <br />I HEfiE81' CERTIFY THAT I HAVE READ AIJD E%AMINED 7HiS <br />APPIICATION ANO KNOW THE SAIdE TO BE TFUE AND COR(7ECT. ALL <br />PRO'JIS!JNS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILI BE COMPLETE� WITH WHETIIER SPECIFIED H[REIN OH <br />NOT. THE GNANTING OF A PERI.IIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br />OTHER STATE OR LOCAL LAW REGULATING CONS7RUCTION OR THE <br />PERFORMANCE OF CONSTRUC710N. THAT I AM AU7HORI7.ED BV THE <br />OWNER OF TNIS PROPERTY TO PEFFORM TNE WORK FON WHICH <br />APPLICATION I$ MADE AND I COMPLV WITH TNE STATE <br />CONTFiACTORS LAW 1827 RCW AND 296.20� WAC. <br />X � <br />Signaturc <br />f�,-� � � /� � %`/. <br />Date <br />FEE _y } � c � <br />� <br />0 <br />t <br />i <br />I <br />i <br />: <br />