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�] APPL�^ATION FOR ELECTRI^AL PERMIT <br /> �i ~ <br /> �V <br /> L <br /> EC <br /> p C <br /> C � y CfttOF <br /> y � everett �. . -� <br /> o� � o BUILDING DEPARTMENT � <br /> y H 259-881� <br /> � � � _. 7 � � _ � ,, � <br /> e� /l, � �;;.,�� "'��'— %� '`" ' <br /> °� n j Jti�'�l '=,n <br /> M p7 � <br /> � • Su� �vo2 ��,ES <br /> Z Ma{r�ress ty p hone <br /> y y ne <br /> t'i H <br /> � N <br /> � enant ai d ress ity ip hone <br /> c m r u8o �YFilcEra9��� <br /> � � � FVE2cREc,+� E`/4nw� 7a3 E /9S /�a7`�iElf 9'St�// .Sb� <br /> y one cense t <br /> � y ectrica ontractor ai ress tY P <br /> �� FR <br /> ontract rScc o or ropose se o u. ing <br /> 6�'J�l' /.c,�si�,Ny r��, ,�1,�� . <br /> �o,«�—�ra��ss <br /> iscnptton o Wor o e one: <br /> u�/ ` N�,J 5�.� <br /> , . <br /> ����. <br /> I �_ NOTE: WAC 296-46• 140 REOUIRES THAT PV�NS FOR ELECTRICAL WORK AT EDUCATIONRL� INSTITUTIONAL OR HEALTH CARE FACILIi <br /> '��� CET�OF EVERETTTPERMITTWILL BE NSSUEDN �PPLICANTS MITH SUCH JOBS NUST SHOW THE STATE APPROVED PLANS BEFOf <br /> NOTE: WIRING IN NON-DWELLINCS IS REOUIRE� :0 BE IN METAL RACEWAYS. <br /> �I �� <br /> I HEflEBY CERTIFY THAT I HAVE flEAD AND EXAMINED TH�S <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND COfiRECT.ALL <br /> PROVISIONS OF UWS AND ORDINANCES GC�VERNI4G THIS TYPE OF . <br /> �,� WORK WILL BE COMPLEfED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GFANTING OF A PERMIT DOES NOT PRESUME TO G�VE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PFiOVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION ON THE <br /> � PERFOFMANCE OF CONSTflUCTION.THAT I AM AUTHORIZED BY THE <br /> 1 .�I� " OWNER OF THIS PROPERTY TO PERFORM TNE WORK FOR WHICH FEE <br /> APPLICATION �IS MADE AND I COMPLY WITH THE STATE <br /> , CONTRACTORS lAW 1827 W AND 296.200 WAC. <br /> �� tw� <br /> � X � 30 y'Z <br /> Signature � Date ,JJ,�/�-�,,/ <br /> � <br /> 1 <br />