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APPLICA�N FOR ELECTRICAL i�ERMIT <br />everett <br />BUILDING DEPARTMENT <br />259-8810 <br />C� <br />/jr-� J <br />G'J(/ <br />Z _ ��,1,// �?��� G�i� <br />—pai'�A�dress ty �p � <br />�css ty p <br />i a NCrass ���iJ� ty ��(/ P %�` 7i <br />'gfj Sr,� <br />ropose se o <br />�r�' ���i �Ycv� v.� <br />scr pt on o or o ne: 1 <br />�{GO ,� �✓G�tG u�CL–` 7 G�l�LGtcl� <br />• '2G'LL[-25f9�L— <br />"! <br />NOTE: BE� 2����6-��BY RTHE STATE OFTMAS iH NCTON.E�APPLICANTS�MKTHTSUCH JOdS MUST'SFiOMTTHE�STATERAPPROVED PRLANSABEFOREEA <br />CITY OF EVERETT PERMIT MILL BE ISSUED. � <br />NOTE: MIRINC IN NON-DMELLINCS IS REW�� TO BE IN METAL RACEMAYS. <br />I HEREBY CERTIFY THAT I HAVE FEAD AND EXAMINED THIS <br />AppUCATION AND IWOW THE SAME TO BE TRUE AND CARRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNIN6 THIS TYPE OF <br />WORK WILL BE CAMPLETED WITH WMETHER SPECIflED HEREIN OR <br />NOT. THE (iMNTINfi OF A PERMR DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br />OTHER STATE OR LOCAL LAW RE6ULATiN(i CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION• THAT I AM AUTHORIZED BY THE <br />CWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION�IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br />x� �_,s-� � 6 - i- �� _ <br />Siynature Date <br />FEE <br />3�L' i�L'-3 <br />