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� <br /> r <br /> APPLICAT�N FOR ELECTRICAL "�ERMIT <br /> � <br /> � <br /> CI7V OF <br /> everett <br /> BUILDING DEPARTMENT <br /> j 259•8810 <br /> � <br /> �OIGY /U��.�+✓ 7'��l /�ci4CElZ L�r/��7� /�lo/ �Z-�f7sd <br /> er -A-Te 1liadress ty p hone <br /> ,� e�a�t E a d ress ty p ��e <br /> /�ti,v-u� ura�i�Yr �yi S /7 r`'i1✓��f. �/T`15�3 7�F3-Lzeo Q�1�lSS�l/�� <br /> e tr ca n ractor a -Fddress tY p one eense <br /> , l��s/O�i/�' <br /> � ontraet r ce o or ropase se o u ng <br /> � y/ L/ K L�/�- <br /> � ro ect dress . <br /> S� � 57��� <br /> t scr pt on a Nor o e onn: <br /> � <br /> � <br /> r. <br /> i NOTE: N�C 296-46-140 REOUIRES TNAT PLANS FOR ELECTRICAL MORK AT EDUCAilON0.L� INSTITUTIONAL OR HEAITH CARE FACILITIES <br /> - BE 11PPROVED BY THE STATE OF MASHINCTON. APPLICANTS NITH SUCH JO85 MUST SHOW THE STATE APPROVED PU1NS BEFORE A <br /> CITY OF EVERElT PERMIT MILL BE ISSUED. <br /> NOTE: WIRING IN NON-DNELLINGS IS REOUIRED TO BE IN CONDUIT. <br /> f <br /> � I FIEREBV CERTIFY THAT I HAVE NEAD AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF UWS AND ORDINANCES GOVERNiNG THIS TYPE OF <br /> � WORK W�LL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OH <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> � OTHER STATE OR LOCAL L4W REGULAiING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY t0 PERFORM THE WORK FOR WHICH FEE �, '3!7 <br /> APPLICATION IS MADE ANO 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br /> i �A/ <br /> �` � � / ��( <br /> ��— Oate <br /> Signature <br />