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� APPLICAt .�N FOR ELECYRICA.. PERMlT <br /> cm oF <br /> everett _ <br /> BUILL`ING DEPARTMENT <br /> 259•8810 <br /> ne� Mail AdCress ity ip �one <br /> - , - ��iv� y �'�ov � �- ��i�,` i; , ;�, � � _ S us=S' <br /> '�T/�.l.i� � /= G��Si /- c _ �63 <br /> �nt � Hai tldress ity p hone <br /> ectET ricalZbntractor Mal ddress ity ip hone icense ♦ <br /> 1�4�-(�tl��V I�u�C - ���s� ���o,yrc!' -v � �z�� z�"z5!�s7 - M `�i�ury7yu' <br /> ontr��rice a Wor � roP posed Use��uilding �— <br /> , �� <br /> ro�eCt Atldress <br /> � /v7 (L��..� / .(/�/U�` <br /> ib'stription of Work o Oe onc: <br /> �1�������Z J/� /C�C�C�C/C ��H-1/L T// ,�rCJiJI_� � Tl/��� <br /> /t >//'l//(,�i_ %C,i h���'c�i�1.C:fJ-_ <br /> NOTE: WAC 296-46-140 REOUIRES THAT pLANS FOR ELECTR�CAL WORK AT EDUCATIONAL, INSTITUT�ONAI OR HEALTH CARE FACILITIES <br /> 8E MPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH J0�5 MUST SHOM THE STATE APPROVED f•LANS BEFORE A I <br /> CITY OF EVERETT PERMIT W�LL BE ISSUED. � <br /> N01[: WIRING IN NON-DWELLINGS IS REOUIRED TO BE IN METAL RACEWAYS. i <br /> I tiERE�Y CERTIFY THAT 1 HAVE READ AND EXAMINED TNIS <br /> APPLICATION AND !(NOW THE SAME TO BE TAUE AND CORRECT.ALL <br /> PROV�SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF � <br /> WORK WILL �E COMPLE7ED WITH WHETHER SPECIFIED HERE�N OR <br /> NOT. THE GRANTING OF A PtRMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY � <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE �� <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE � — <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH FEE �S ' <br /> APPLICATION IS MADE AND I COMPLY WITIi THE STATE -- <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X � /� � �/�'/ <br /> 'i� ���_ . � �s>-�' /� ' - � —�f�'Z <br /> TSignature /� �ate <br /> . � � � <br /> '�� .�- y.� <br />