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_ . � .' I <br /> � p °y APPLICATI _ N FOR ELEC�'RICAL : =RNiIT ' <br /> IO�� Ctl <br /> C H <br /> 7 H N <br /> 4 <br /> H 3 <br /> K n <br /> y 'n CIN OF <br /> � N a evQr��#�t � <br /> � z �� gUILDING DEPARTMENT � �g�� <br /> a � -� 259�C810 <br /> zr. ri <br /> H p' fi <br /> �] ` �� <br /> N <br /> 2 r� :JJ��" � J ) (i <br /> y �i <br /> r •+ H .�Nl_l_�I CW1'll� � ]`ID L�)�iG/1fC �,1�/�S Y, .�,�,�� JL=_/7�l�LC� ,c�61 � �/L�:�—' .-'`- <br /> �t �Adaress City ip Phane <br /> (,� �' y.i Owner� <br /> f� G N <br /> C hone <br /> ai dtlress ��Y 'P '/ <br /> H O m enan[ p �G'S� )���C� }YVD� <br /> '-�.� �'(� Z rS �-v � JUJCYIY� (Ll9 Ib���' 77�" � a ,� <br />� �(`I fCk�r'l �- -�'�"f2 tC _ � � hone � � <br /> ETect�7c1��ontractor Ma�fXddress ��Y P __ <br /> ��-, ��' 3 . pO ,Sin L > l- ia . c.:. 'E�-`- � � cr �'.F— <br /> ropased se ot ui din <br /> ontract r�ce o Wa� � I <br /> 7!1 g ��� 'Sr ���. f:I�e7�e-iT ." <br /> � � <br /> �ro)^ct Address <br /> � _ 2cO0 /-�h7"1 � " .� IC _�� <br /> L,U L 12 C-; ti t tJ <br /> iscription ot 'Nork o Bu Uane: <br /> / _ <br /> I ' �� <br /> ���1 <br /> { <br /> I 'O�� <br /> e�I IlOTE: BELAPPROVE0�6� THEuSTATETOFTWA H'INCTOR ELAPPLICANTSaW1TV1TSUCHCJ005"1UST'SFIOWTTH"c�SiATERAPPROVED PlANSA�EFORE n <br /> � � CITY OF EVERETT PERMIT WILL BE ISSUED. <br /> tlOTE: WIRIt�G It1 t70N-DWELLINGS IS REOUIRED TO BE IN METAL RACEWAYS. <br /> I �� <br /> I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> APPLICATION AND 1<NOW THC- SAME TO BE TRUE AND CORRECT.ALl <br /> !'�1 PROVISIONS Of LAWS AND ORDINANCES GOVERNING Th11S TYPE OF <br /> ' WORK Wlll BE COMPLETED WITH WHETH[R SPEGPIEO HEREIN OR <br /> NOT. TF1E GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE <br /> , 'e_I AUTfiOflITY TO VIOL/1TE OR CANCEL TIiC- PROVISIONS OF ANY <br /> OTHER STATE OA LOCAL LAW flEGULATING CONSTRUGTION OR THE <br /> �� PERFOPMANCE OF CONSTRUCTION.THAT I AM AUTHOHIZED BY THE .��� �� <br /> I i <br /> AOPPLICAOTIONISISRMADE ANDPE�COMPLY W�oHKT'IOE STATE FC �) <br /> CONlRACTORS LAW 10.27 RCW AND 296.200 WA . <br /> \ �/ ^ <br /> ���/ �'z �� �/���-- <br /> oace i <br /> Si9 turo <br />