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... . ..�.....ar.. �—. .=�w�c::�asusw�va�m',�n�v !�� ..... r.._,�. . _. _ .... <br /> APPLICATIOM FOR ELEC�'F�{CAL PERM!T � <br /> ciTv oF EVEa�T <br /> Y��7�E�fE7T R <br /> OUILDING �IVISION <br /> 3200 CmAR STREE7 <br /> EVERETT, pA 98201 <br /> z5s-as�ro 3;S•-�z �_3 <br /> l� i ✓e�s► r=��� .Ln,��l�s-FF,r��S�����e �?�'3� �- ��'�'sf �'v� ��� cU� �lSar:� � <br /> Owner Mail Address n - �X /�(�� ����o ` St�te ip Phone <br /> Y ��� <br /> � � {1�L� <br /> enant Mai l�d�lre�s X � � �� i ty �ate i p hone <br /> L) ��� � t)<—LIq� <br /> � �L�LI-'�S LL ECT�IC «-Jwc �.(.�C-'✓L�`� GU'� `l��k;�<. �'�cYX�«C.232%'A- <br /> cl c�rical Contractor Mail Add;ess �iLy tate ip hone tate icens�— <br /> 4 '� <br /> / /�/� <br /> C�.`t . � / //�/11L{ �—/{-�-�-Lfl�idl`7 <br /> on�tract rice � Work ^ Proposed Use of Building � <br /> /� ��1 � � <br /> � . ! — 3Cc�� Q ; <br /> Pi r..c Address <br /> Discription of Work p Be Done: � / M� \J '?� _Z��`YU"�� <br /> �(l ��, � � L�Z il <br /> 1 <br /> �1�1 (� ��`�Q_� <br /> NOTE: WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS N�ITii SUCH J005 hIUST Sf10W THE STATE APPROVED PLANS BEFORE A <br /> CITY OF EVER'eTT PERMIT WILL BE ISSUED. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN CONDUIT. <br /> I HERE3Y CERTIFY THAT I HAVE READ AND' EXAMINED THIS �� <br /> APPLICATION ANO KNOW THE SAME TO BE TRUE AND COFRECT.ALL <br /> PROVISIONS OF LAWS AND OFDINANCES GOVERNING THIS TYPE OF � � . <br /> WORK WILL BE COMPLEfED N/ITH WHEfH[R SPECIFIED HEP.EIN OR <br /> NOT. THF GFANTING OF A PERMIT DOES NOT PRESUME TO GIVE � <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY /� � <br /> OTHER STATE OR LOCAL LAW REGULATW6 CONSTRUCTION OR THE � �/j � <br /> PERFORMANCE OF CONSTRUGTION.THAT I AM AUTHORIZcD BY THE l J� � � � <br /> OWNEF OF THIS-PR PERTY TO PERFORM THE WOP.K FOR WHICH FEE <br /> APPLICATI I�S,',�9MADE hU I COMPLY WITH THE STATE ; <br /> C O N T R A C R S W 1 8.2 7 W A N D 2 9 6 2 0 0 N l A C. <br /> f` <br /> X � +%,� /'��—�'j — --- - � I <br /> v / <br /> , _.._ —_- -- <br /> Signatu e �,"�.' � <br /> . �i <br /> —i ' <br /> I <br /> tM <br /> ;^ <br />