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�. . <br /> F <br /> ,� ' <br /> � <br /> � �" � APPLICAT`.�N FOR ELECTRICAL'°."ERMIT <br /> � CITY OF <br /> ��y everett <br /> 9 y y BUILDING DEPAFTMENT <br /> 259•8810 <br /> H �� <br /> fe C] <br /> H�! / -/�. / -y� <br /> � yH / /7 � Hea,�l {!f/�n P 67.20 � Gr�Pn�KC�� /U S Pr7//!i 9�/G3 525- 9666 <br /> � �� ��� / ai AOress tCT y Z� .�hone <br /> .S'�vP.- �a�re R U �irK l/62� W .S'�v/r �,7�r Ra �vPrP/i 33d'- `/66G <br /> �b a E ress ty hone <br /> p i� Tant � '!�3-�"/�G <br /> � ag u �, ��1P7`'; S�afll .� Pa a �7� �uoo�/:��'/.� 9�072 .�vourEs 6v2 R6 <br /> �� p one ,cense <br /> ectr ca ontractor i~ ai a ress LY P <br /> Z y� �-�v /�� _'��i ' <br /> � �„�y ontract nce o or / / ropase se o��-u}i- .n9 / <br /> O y r"+ ��� �' �r/ � .� �lvPr Fa ke K Cl. �vPre� � /OI^39 2 �cn /tl�n y <br /> O17V1 ro�ect ddre.,s C-�`Fi+`.^:�b"`"c '�y'-c-� <br /> � �r O.�<.-�. � ,4��L�--� � �v r._G. <br /> c� <br /> yQ� iscnpt on no W�or�J o one: /�' <br /> L�¢/2�AA2 f����9 �cG �w-r%�!L �-cEa./_.`ZG't� �y <br /> 6�✓��l� /J2,�,�.cC �iw ��i//Yri',cr�•�+ti.L� u-�4( <br /> `f',L��� �l,.rW(.vv/ / � <br /> _ q-- 2_0 .�c.c c._.C_�_= <br /> :/ � <br /> �� <br /> �' I <br /> NOTE: X�C 296-46-140 REOUIRES THRT PLANS FOR ELECTRIGL MORK AT EDUGTIOtL1L� IIiSTITUTIONAL OR HEALTH CARE FACILITIES <br /> .� BE MPROVED BY THE STATE OF MASHINCTON. APPLIGNTS MITH SUCH JOBS MUST SHOM THE STATE MPROVED PLANS BEFORE A <br /> I � CITY OF EVERETT PERMIT MILL BE ISSUED. <br /> NOTE: NIRINC IN NON-DMELLINGS IS REQUIRED TO OE IN METAL RACEWAYS. <br /> � <br /> r,�� <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> '� � APPLICATION AND KNOW THE SAME TO BE TFiUE AND CORRECT.ALL <br /> �)I PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WOflK WILL BE CAMPLETED WfTH VYFiETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES N0T PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> � (� OTHER STATE OR LOCAL LAW FiEGULATING CONSTRUCTION OR THE <br /> PERFOfiMANCE OF CONSTAUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFOHM THE WORK FOR WHICH FEE _ �7�5 '70 <br /> APPLICATION IS MADE AN� I COMPLY WITH THE STATE <br /> ' ' ' CONTRACTORS LAW 1BR7 FiCW AND 296200 WAC. <br /> . .. X Q.e S�� ��z��� <br /> Si ture Date <br /> ;?� S � j <br />