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� <br />� <br />� <br />� <br />� <br /> I <br /> I <br />� � APPLI�,ATION FOR ELECI"RI�..�L PERMIT <br />� � . <br /> cm oF <br /> everett <br /> BUILDING DEPARTMENT <br /> 259-8810 <br />� <br /> ��c�i� �re(' �}ow�C�s ���"L3 IOr r�s i.S r �'�e.�- `l f�ZDY �S�S=3 I s y <br /> ner Mai dd�ress — iLy ip hone — <br /> _�!q v�1 G <br /> Tenant ai d ress ity Zip hone <br /> s���o c�����e r"r��. �i����o�+ A�� i�'E �11w��b��Ne �uz�c NSy�Cy�l <br /> �nca ontractor lai ress Cit p one icense # <br /> ontract nce o or ropose se o ui ing <br />` i� � 3�T'� ST rv��re�" <br /> ro,7ect d �res� <br />�1 <br /> I , iscription of Wor o e one: <br /> TP�^'� 1`-�� Gt} G.'UC(C f r L� '�I ��c� , <br /> �:JTE: WAC 296-46-740 REQUIRES THAi PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CqRE FACILITIE: <br /> BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JO85 MUST SHOW THE STATE APpROVED PLANS BEFORE i <br />� CITY OF EVERETT PERMIT WILL BE ISSUED. <br /> NOTE: WIRINC IN NqN-Dk'ELLINGS IS REQUIRED TO BE IN h1ETAL RACEWAYS. <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXtiMItJED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS 1YPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR � <br /> NOT. THE GRANTING OF A PERMIT DOE.", NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHEH STATE OF LOCAL LAW REGUTATIhu" ^'7NSTRUCTION OR THE <br /> PeRFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> �7WI:ER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH FEE <br /> �PPIICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONT.aAC70RS LAW 18.27 flCW AtJD 296200 WAC. <br /> , <br /> � > > , � /' <br /> ;c �1.���/� ����%/-�,�%�C_ <br /> Signature ' Date . <br /> /� <br /> 7 /�� `�` _����,��tJ� <br /> _ __�- ._�. ___ _ :- - _ - _ _ <br />