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ro � � <br /> _� � �pPLICATION FOR ELECTRICAL PERMIT <br /> � �y " /n ciTv oF �veaErr <br /> O C O � V lfU1IDING DIVISION <br /> ro � � � I� � `�� EyEREfi^MA590201 <br /> s°o � � 259-88i0 `�` <br /> ¢; I � y � C W� honc <br /> b H � ��1 I S � -� � � � 11 n r ' � \l C tate �p <br /> r N y Ma� AOdress , <br /> )wncr <br /> N �p y /� tate ip honc <br /> �3 ro r /�� ,sy <br /> y enant r Mai ddress I �� <br /> � : S L � <br /> � O m / ' ,,,,V Cr e f-{- � '�`� � tatc icensc o. <br /> ` ....IC-L � C tate �p hone <br /> , ectnca ontractor <br /> a� ddress �tY <br /> roposed se o ui ding <br /> .ontract Pricc o Work <br /> roject tldress �_ 5� / / / � <br /> fl I 1 / � (�� � � 1,. <br /> iscription of Work To Be Donc: <br /> � � i <br /> / _. <br /> �Y" , <br /> � �� <br /> 1 �__ <br /> __� <br /> NOTE: pE�APPROVED�BY THEuSTATETOFTWASHINGTOR ELAPPRI ANTS WITHTSULHCJ085N1USTISHOWTTHE STATERAPPROVEDCPLANSABEFOREEA ` <br /> I �� CITy OF EVERETT PERMIT WILL BE ISSUED. <br /> NOTE: WIRING IN NON-OWELLINGS IS REOUIRED TO BE IN CONDUIT. <br /> __ . <br /> ��� <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND GOFREGT.ALL <br /> d I_ pqOVISIONS OF LAWS AND OR�INANCES GOVERNING 7HI5 TYPE OF <br /> WORK W�LL BE COMPLEfED WITH WHETHER SPECIFIED HEREIN OR <br /> I�� � N07. THE GRANTiNG OF A PERMIT OOES NOT PRESUME TO GIVE <br /> I AUTHOFITY TO VIOLATE OR CANCEL 7HE PROVISIONS OF ANY ��L'� <br /> OTHER STATE OR IOCAL LAW REGUTATING CONSTRUCTION OF T1'�E FEE <br /> PERFORMANCE OF CONSTflUCTION.THAT I AM AUTHORIZED 8Y THE <br /> OWNER OF THIS PROPERN TO PERFOFM THE WORM. FOFi YIHICH <br /> � CONTRAATIO SlA�'dM8 D ACW AND 96.00 WAC.�TH THE STA7E <br /> � <br /> X ) �� �� �� /�'" � � �� �� <br /> D te <br /> $ignature <br /> �� <br />