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APPLICATIO"� FOR ELECTRICAL P,�RMIT <br /> LITv OF <br /> ��� everett <br /> BUILDING DEPARTMENT <br /> p�x 259-8810 <br /> >Ht~i� � . . . . <br /> H �� <br /> �C C) <br /> H�1 <br /> Q� �p� ner tlai AtlGress lity �p hone <br /> p�� ._c'v ��. � �7i_' � �� !�_ �' �: �� r , I"• i . , i I � � �,� .,,"� �.� �-i <br /> T O � enant � Fai tl ress i[y p � hone <br /> i <br /> oi H d �� �- <br /> F e��aTlontrac[or Mai d ress ity�ip none �censc x <br /> '.HO �,�y <_ ( , ` <br /> O <br /> G�• C] � <br /> H � ontraei n ce a Wor ropose se ot u tl�ng t <br /> ra+ y z 1 <br /> � �H ro�ett ddress '� <br /> 7 <br /> OCN �� C� .�) JC_ll�c"i,�� " / i. �- �- �. � „ � ( � � <br /> C, C r �b scnptton a Wark o e one: __ __ ; <br /> 3 [�1� <br /> ' ' �l � � i( �' � }. � -� � � � � I i i <br /> � O� i <br /> ; <br /> , i <br /> �,. � NOTE: WAC 296-46-140 REOUIRES THAT PLANS FOR ELECTRICAL WORK AT EOUCATIONAL� INSTITU110NAL OR HEALTH CARE FACILITIES <br /> I � BE APPftOVED BY TNE STATE OF MASHINCTON. APPLIGINTS WITH SUCH ,I085 HUST SfiON THE STATE APPROVED PLANS BEFORE A � <br /> CITY OF EVERETT PERMIT WILL BE ISSUEU. <br /> NOTE: WIR�NC IN NON-OWELLINGS IS REOUIRE� TO BE IN MET,1L RACEWAYS. � <br /> �s �� <br /> �"` ,� � <br /> i � <br /> '+o w I HEREBY CERTIFY THAT I HAVE flEAD AND EXAMINED THIS i � <br /> � I APPLICAiION AND KNOW iHE SAME TO BE TFiUE AND CORRECT.ALL <br /> PFiOVISIONS OF LAWS AND ORDINANCES GGVERNING THIS TYPE OF <br /> WOPK Wlll BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR I <br /> NOi. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> � ��; AUTHOqITV TO VIOIATE OF CANCEL THE PFiOVISIONS OF ANY <br /> � OTHER STATE OF LOCAL LAW REGULAiING CONSTRUCTION OR T11E <br /> PERFOFMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED 8Y THE <br /> OWNEF OF THIS PROPERN TO PERFOFM THE WORK FOH WHICH FEE '� <br /> APPLICATION IS MADE ANO I COMPIY WITH THE STATE — " <br /> �, � CONTRACTOflS lAW 18.27 flCW AND 296100 WAC. '- <br /> !, . �� , _,. - . ��,�. � � . . . <br /> � X �� . <br /> i <br /> !' ' \-- I /L.� CC I�� ^ � � •� •� � /'i �/'� - <br /> Signaturc � � Datc ���� � <br /> �, � <br />