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' � APPLICNTlON FOR �LECTRICHL PERMIT <br /> ��� everett <br /> ��x BUILDING DEPARiMENT <br /> 9,�� 259•B810 � -� <br /> H �� ��� <br /> H <br /> � �� �i� �in ��c•rt�` ' riC7im�i ��C'S -/5 �(�. /��d� /a� ����� 9A.� �� �'�1� �-� ?,4�10 <br /> ner a 'T�ress ty ip hone <br /> � HC7 nant ai d ress �ty p honeJ�:�'c<f�c� � <br /> O H � � , n C�. � r - — i l <br /> � o�y I� , . 42 < l �^ J,' . �:-i > ' . 1� �"'"' i ' c„� 4k�/ 2 <br /> H C�10 \ �� � ' � � �� ' i one icrose <br /> C,]. O ectr ca tractor ai^ ress �tY P � <br /> H �" <br /> Z H 3, <br /> Cyx ontract ncu o or ropose se o u ng � <br /> HH . <br /> N � <br /> H <br /> n ty N ro]ect ddres; . � � � <br /> � ��+ �f[�� 1��� �r/ ('1 ��/I7��(� �9 � i/�l .�� _ . <br /> t+1 � <br /> z y� 1Siscription o Wor o e one: <br /> r3 O Vr <br /> i <br /> �/� j 1 / �� I <br /> . �/�� - �tUm��` l �-CI�;/ rY� ���/�'� `� ;�,°�9i %�C � <br /> , <br /> ... „� <br /> 1 � . <br /> NOTE: WAC 296-46-140 REOUIRES THAT PUNS FOR ELECTRICAL WORK nT EDUGTIONAL� INSTITUTIONAL OR NEALTH CARE FACILITIE! <br /> BE APPROVEO 8Y THE STATE OF WASHINGTON. APPLICANTS WITH SUCN JO85 NUST SHOW THE STATE MPROVED PUNS BEFORE I <br /> � CITY OF EVERETT PERMIT WILL BE ISSUED. - � <br /> !� ! NOTE: WIRING IN NON-DWELLINGS IS REOUIRED TO BE IN METAL� RACEWAYS. <br /> i <br /> � � <br /> I HEREBY CEflTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> t .� PROVISIONS OF lAWS AND ORDINANCES GOVERNING THIS TlPE OF , �� <br /> �„) I WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEFiEIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVIS�ONS OF ANY '. <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE ' <br /> I ~) PEHFORMANCE OF CONSTRUCTION.THAT I AM AUTHOFlIZED BY THE � il <br /> OWNER OF TNIS PROPERTY TO PERFORM THE WORK FOR WHICH FEE `�S• �� <br /> APPLICATION �IS MADE ANO I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296200 WAC. ,, <br /> �.. ..,� • � <br /> ���� ��Y_�� . ����i .L%C'`C'(/� 7".��_ �� li <br /> Signatura• � Date -� ,� 7 <br /> �, . '�i 7_�� J <br /> I <br />