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APPLICAT�''�N FOR ELECTRICAL�°,;�RMIT <br /> CI7V OF <br /> �� everett <br /> � BUILDING DEPARTMENT <br /> ; 259-8810 ' <br /> n <br /> i <br /> � p� y�� Cl� p.� �'��s� .�- ao�� <br /> r�c�e�y c�r�t aa�a- e,..���,,-�� ��.-��r- <br /> � �« Nai ddress �ly ip hone <br /> � <br /> � enant ai d ress �ty p none (�����p L <br /> � • ,G ♦ t� / <br /> . F TN4k5�T �nnwnicc��i•nJ' v Cl�v.n.�Nf. PJ $or (e277 L��nn�vo.� �VL�3L �.ZD(e �7�r'lySf� <br /> { ai ress ty p hone cense <br /> � ��{2S0 cln�f /�Y�arfin�.�'�' <br /> � ropose se o '�ui ng <br /> 7 �7 /� �7 �7 I' <br /> � �02.� � KUG�er' PI✓f...�..ti "/h /�!' �Q�t � 6�.VJF- <br /> i ro�e�t dress <br /> � � 51�-.�G� rCi� z- �ZA1t�� J �cm <br /> ' 6 seription o Mor� o e one: <br /> � <br /> � <br /> 3 <br /> � <br /> � <br /> � NOTE: MFC 296-46-140 REOUIRES THAT PLANS FOR ELECTRICAL tlORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> � BE APPROVED BY THE STATE OF MASHINGTON. APPLICANTS NITH SUCH JO85 MUST SHOM THE STATE MPROVED PUNS BEFORE A <br /> CITY OF EVERETT PERMIT MILL BE ISSUED. <br /> : NOTE: MIRING IN NON-DNELLINGS IS REOUIRED TO BE IN METAL RACEWAYS. <br /> � <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> � APPLICATION AND KNOW THE SAME TO BE TRUE AND COHRECL ALL <br /> PROVISIONS OF UWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PEFiMIT DOES NOT PRESUME TO GIVE <br /> i AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> � OTHER STATE OR IOCAL UW REGUUTING CONSTHUCTION OR THE <br /> PERFORMANCE OP CONSTRUCTION.THAT I AM AUTHORIZED BY THE �,/� <br /> OWNER OF THIS PROPERTY TO PEPFORM THE WORK FOR WHICH FEE ��`� <br /> ; APPLICATION IS MADE AND I COMPLV WITH THE .$TATE <br /> CONTRACTORS LAW 18.27 RCW ANO 2%.200 WAC. <br /> i <br /> , . <br /> -� C; � l . ���-�-� ic//;� �� a� <br /> , <br /> � S�fgnature Date <br />