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� <br /> APPLICAT► �N FOR ELECTF��IC�L , �RNill <br /> CITY CF <br /> evere#t / <br /> BUILDING DEPARTMENT , <br /> 259•�810 I <br /> �1P���r,_m_es 3�uD�u.11akcArt L �eoo S ,,,�al� 98io� GaoG) 3�8 -3�.'ao <br /> OWncr Ma� Address ty ip Phone <br /> enant ai Adress �Cy �p honn — <br /> Q" k�� �t.laciu.:.� .��'p i'�.U� i ;klesr .zao �8 <br /> . u�c�rtca lontractor Ma� ddress ity--Iip 'hone -�Unse p <br /> �ntruct r�cc o Wor ropased �e o ui Jing <br /> `�-Ol: �(-I S+ �.4.0..c�r � v �4 k � 1c,�Fd '4 0 4 � 1� <br /> r�oj.ct Address <br /> �scrip[ion ot L9ork o l3e Oone: <br /> L„o a��� 1 e W� ck,l e <br /> NOTE: WAC 296-46-140 REOUIRES TF1AT PLANS FOR ELECTRiCAL WORK AT EDUCATIONAL, INSTITUTIONAL OR FiEALTH CARE FACILITIES <br /> OE APPROVED BY iHE STATE OF WASHINGTON. APPLIGINTS WITH SUCH JOOS MUST SHOW TIIE STATE APPROVED PLANS OEFOflE A <br /> CITY OF EVERETT PERMIT WILL OE I.;SUED. <br /> NOTE: WIRING IN NON-�kVELLINGS IS REOUIRED TO �E IN METAL RACEWAYS. <br /> I HERE�Y CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION ANU KNCW THE SAME TO�E TRUE AND COflFECL ALL <br /> P(iOVISIONS OF LAWS AND OFDINANCES GOVERNING THIS TYPE OF <br /> WORK WILI DE COtdPLET[D WITH WHETHCFl SPECIFIED HEREM OR � <br /> tJOT. THE GfIANTING OF A PERIdIT DOES NOT PRC-SUME TO GIVE <br /> AUTHOf11TY TO VIOLATE OR CANCEL THC PROViSIONS OF ANY <br /> OTHE(1 STnTE Ofl LOCAL U1W REGUL.�TING CONSTRUCTION OR THE <br /> PEf�FORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZEO BY THE <br /> OWNEfI OF THIS PROPERTY TO PERFOFlM iFIE WORK FOR WHICFi FEE o7S�� <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS L.AVJ 11i.27 RCW AND 29G.200 WAC. <br /> ���..�� ��� �c� S�o3/93 <br /> Si9nature Oate <br /> __ .'--`=._a,. _ _. ,.,�-, : .._. . �-�,: -. � � . - � -..- e.� �. <br /> - � `„� - i�7� s �`.- H�J. r- �- <br /> .. .,..,. � . . �.. '.,_ <br /> ._. ,,........� .. .'.:"'"„+.-,.:.'.:�,� ,,. ... . .nio�,. �?s'.'_ .u.sA'Y.'� '�..__��k _� ` -.w..da; �`i,z..,s, <br />