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..y <br /> APPLICATIGiJ FOR ELECTRICAL PcRMIT <br /> � �� cmoc <br /> everett <br /> p�� BUILDING DEPARTMENT <br /> G H 259-8810 <br /> � Hxtn <br /> HZ� <br /> �C C] <br /> H 70 <br /> oxo <br /> �yH ner Mai ddress . ity i0 ho.�c <br /> � �� D�f S��eb�� Ac1 ��7�,1 51� �cre �v� � U �'re �l� �55- k��l <br /> enant ai —�tl ress�ity 0 hone <br /> �y � I ►� <br /> I-�1 [�iy p ectnca ontractor a� Are s �Cy iD hone �cense R <br /> �` " (�,l,e� �PC��!l�f ���\C� }-� � II 1���� �,U��e�t} ��� <br /> � y� antroct r ce o wor� ropused se o uiTing y� `^ <br /> yy � ��`1�� 7 IL��'� ��l�i�v 1��C��� <br /> �„� �ro}ect aEress <br /> "��' �C l f �S °1�.�:'�C�/�. <br /> � � � s�r <br /> 6iscr pt on o ork a e one: <br /> y o� �1��—c� 11 ����_ �S �-C� � ��� �I i.v M <br /> � U ',1 <br /> � — <br /> �� <br /> HOTE: h'f.0 296-46-140 PEOUIRES THAT PLANS FOR ELECTRICAI N'ORK A7 EDUCATIOt�AL, R15TITUTIONAL OR HEALTH CARE FACIUTIES <br /> BE APPROVED BY TME STATE OF WASHINGTOIL APPL�CFNTS WITN SUCH JOBS N�US7 SHON 7HE STF1E APPROVED PLANS BEFOFE R <br /> • CITY OF EVERE7T PCP'�iT WILL BE ISSUED. <br /> I �� NOTE: WIRING IN NON-DMELU NGS IS REOUIRED TO BE IN METAL RFCEWAYS. <br /> ' '� I NEREBY CERTIFY THAT I HAVE READ AND EXA�,IINED TNIS <br /> APPLICATION AND KNOW THE SAME TO BE TPUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS,�ti0 ORDINANCES GOVEHNING THIS TYPE OF <br /> WORK WILI BE COMPLETED WI7H WHETNER SPECIFIED HEREIN OR <br /> NO7. 7HE GRANTING OF A PERMIT �OES NOT PRESUME TO GIV[ <br /> �� AUTHORI7Y TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL lAW REGULATING CONS7RUCTION OR TNE <br /> PERFOR�dANCE OF CONSTRUCTION.7HAT I AM AUTHORIZED BV 7HE <br /> � OWNEF OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH FEE <br /> I _. APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> `� CONTRACTORS LAW IB.27 RCW AND 29G.200 WAC. <br /> X `�� � �i . � � ,- - . <br /> ���J�/1��S'C�,l;`�r 1:.J/.';���?) `; v i � <br /> Signature , ate <br /> � �`� � <br /> i <br />