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APPLICa, lON FUR ELECTRICA� P�'RN11T <br /> :I rY OF �� <br />, ev�er�tt <br /> 3UILDIDJG DEPARTMENT �; �\���� <br /> ?59-8810 <br /> �<< i l y ��, ,� ��� ��� 1�;L,��<,�.���� � � �-�.;�� <br /> Doug Collie 4411 103rd Ave. �. E. Everett, Wa . 98205 568-2858 <br /> Uwncr Hai ddress U ty ip Phonc <br />� enant Mai Address i.�ty ip Phone <br /> Rob� s Electrir_ 4405 103rd Ave. � _ qA�n� Ap�SFTi � nnn <br /> E ectn ca ontractor Mai ddress l-ity p Phnne licens' e d - <br /> lontrac[ n ce o Wor roposed se of uilJin9 <br /> 709 40 <br /> ro�ect dtlress <br /> Wire new hou <br /> piscriptian of 'r7ark o Be Uone: <br /> N�TE: 'dAC 296-46-140 REOUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, iNSTITUTIOHAL OR NFAITH CAR[ FACIU TIES <br /> BE APPROVE� BY THE STATE OF W115H�NCTON. APPLICANTS WITH SUCH J0�5 14U5T SIIOW TNE SiATE APPROVED PIANS OEFORE A <br /> CITY OF EVERETT PERMIT WILL OE ISSUED. <br /> HOTE: WIRING IN NON-OWEIU NGS IS REOUIRED TO �E IM METAL RACEWAYS. <br /> I HEREBY CERTIFY TH�T I HAVE READ AND EXAMINED THIS <br /> APPLI(:ATION AND KNOVC THE SAME TO BE TFlUE�ND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING TFIIS TYPE OF <br /> WORK WILL BE COMPLE'fED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTkiER STATE OR LOCAL LAW REGULATING CONSTFUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM�UTHOFlIZED BY THE <br /> OWMER OF THIS PflOPERTY TO PEFiFORM THE WORfC FOR WHICH FEE �� — <br /> 11PPLICATION IS MADE AND I C061PLY WITH THE STATE <br /> CONTRACTORS ll1W 10.27 RCW AND 296.200 WA0. I <br /> � <br /> X— . � <br /> —F-:��;ii�, ;L-' �.<. _- '_� ' <br /> Signaturo/ Date <br /> � � ,i ` ��,/.. . I <br /> i : <br /> � � � I <br />