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�_ <br /> _ . � „ -� <br /> APPLI: aTION FOR ELECTRII.aL PERMIT <br /> cirr oF <br /> everett <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> �Gt:��\� r��� N�"�t'S �I�ZJ IL�K � � �ISI. �'� � C 5����;- � <br /> vb—iner Mai ddress f� � � �C�`�`_`1/"S C <br /> tty iP hone <br /> � ��� li61 � <br /> eT "a"t ai d ress ity ip hone <br /> S I C-� ',� �� l ld �l l' . S'�" `� <br /> ectrica ontractor ai dress ity ip one <br /> icense # <br /> �jC�C�C�.� � l_ � <br /> on ract r�ce o or ropose sU e o�'�u�1�fi�9 <br /> 13c!�+` _� � T�� ,S i �_�,������- <br /> ro,7ect ddress <br /> iscription of Work o e one: <br /> _ �� <br /> o���, ti -� �� il't��.� r� � � �«r �« �� � /C <br /> V � <br /> NOTE: WAC 296-46-140 R'eOUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIE: <br /> BE APPROVED BY THE STATE OF IYASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE APPROVED PLANS BEFORE � <br /> CITY OF EVERETT FERMIT WILL 8E ISSUED. <br /> NOTE: WIRINC IN NON-DWELLINCS IS REQUIRED TO BE IN METAL RACEWAYS. <br /> I HEFEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CJRRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR � <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OF CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONS.TRUCTION.THAT I AM AUTHOflIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH FEE � <br /> APPLICATION IS MADE AND I COlAPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WA . <br /> � �; , �! <br /> X ;f����,=�� -i < <-�� <br /> . �-�� <br /> Signature Date <br /> ���� �� <br /> . . z s�''�''...:c \��� . - -- - - <br /> �, -:� <br /> Fv ,. , ._ � <br /> , �'-*� <br />�,y3 �� �'`-'�-�...��"t. :_i <br />:c,e..i.:.mr_�.N::�:�so�C.�:�.Y"..e��__-_..-J <br />