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� <br /> � v � , � <br /> t: <br /> ,..� `,. <br /> APPLICATtON FOR ELE�TFtiCAL PERMIT <br /> ��� CITY OF EVERE77 <br /> BUILDING DIVISION <br /> 3200 CmAR STREET <br /> �]�x . EVERETT� M� 98201 <br /> �H c~i� 259-8810 �?o. /��'�.� 3 i''� <br /> H �� • <br /> �C �o ;� Nl(-fo �v � f? Mf�i �i/NI > Fu�i�t'rj Gvti�N 9��c G <br /> H:� �er Mai ddress ��t�tate ip hone� <br /> � `�~ � = l /�" <br /> � �� J , <br /> enant ai ddress i[y tate p hone <br /> z �8 ���.(_ <br /> �� � ctrica ontractor ai dOreas ity tate p hone tate cense o. <br /> ?. M�1 /�o O n 1 /� <br /> > Ht4 � �( l ' (�(���1 �� -US� 11i�iYXfnp <br /> y Lontract Frice o or -P�ioposed Us� uiTd'ing �1 <br /> t yy e o J <br /> ot7v~i '.� ' o �QVC l7E`/� ' <br /> i <br /> ��'�+ ro�ect ddress — I <br /> H[�i� o <br /> HOfA Discription of Work To Be Donc: � N 5 / /1 /� L /�R'/I T/� (3 i}-5� (� y /a �/ C� <br /> F " <br /> �-� <br /> �� <br /> _ _ <br /> I � NOIE: WAC 296-46-140 REOUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL INSTITUTIONAL OR HEAITH CARE FACILITIES <br /> � '� BE APPROVFD BY THE STATE OF WASHINGTON. AFPLICANTS MITH SUCH JO85 MUST SHOW THE STATE APPROVED PLANS BEFORE A <br /> .CITY OF EVERETT PERMIT WILL BE ISSUED. . � <br /> '" � NOTE: XIRINC IN NON-DWELLINGS IS REOUIRED TO 8E IN CONDUIT. <br /> ��� <br /> I HEREBY CEPTIFY THAT 1 NAVE READ AND' EXAMINED THIS <br /> ��I�'' APPUCATION ANO KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF UWS AND OROINANCES GOVERNING iHIS TYPE OF I <br /> WOpK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PEFMIT DOES NOT PRESUME TO GIVE i <br /> �'� � AUTHORITY TO VIOLATE Ofl CANCEL THE PROVISIONS OF ANY � <br /> '� OTNER STATE OF LOCAL lAW REGUTATING CONSTRUCTION OF THE � � <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY T}iE ' , <br /> OWNEH OF THIS PqOP[RTY TO PEFiFORM THE WORK FOR WHICH FEE �� <br /> �. �. APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> �' � CONTRACTOFiS LAW 1827 RCW AND 2?6200 WAC. <br /> " ' X � �G�.Z,/ - �/'!-�(v��1..-. � �• C�o � � �l <br /> 5ignaturd ` ate "�.'�� <br />