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�i <br /> ; <br /> � <br /> i <br /> � ro qPPLICAT:�"N FOR ELECTRICAL :.RMIT <br /> a � � <br /> b <br /> �'�' � � CITVOF <br /> o � o everett <br /> � v~i N BUILDING DEPAFTMENT <br /> � � � 259-8810 <br /> � <br /> �G- �`' <br /> N � /' <br /> �e " �,l/�{�dc�'/j� ���s ?J9D2 39"`i,yi/Y�C�/ fr�e,cydo� 356gy3i <br /> y Z� Phone <br /> Owner Ma�l Address Ci[y P I <br /> p.� __._ <br /> lpy y M S/a�...�� ^ � PhOne <br /> n O � tAail ddress '�Y P <br /> � L� enant / � . �•ES Z� �phn,y� 17S7S� <br /> �y N t��yyt�I� C��1 � �SA✓d Sls ,�uWe.. „fH �t/q. icense <br /> � hane <br /> 0 y ec[n ca lontractor ai dress ��Y P <br /> � �Lc.a'e�l <br /> rW�05CA-[Ise o7Zlu�lding <br /> ontract rttc o Work <br /> soa ���� vL w�;- �'���� T� � <br /> ro�ect Address <br /> iscription of Work To Be Uone: _ <br /> � N,. S�2 v��E — <br /> !O ^ <br /> (��,i <br /> � <br /> 1 �� NOTE: WAC 296-46-140 REOUIRES TNAT PLANS FOR ELECTRICAL WORR AT E�UCATIONAL� INSTITUTIONAL OR HEALTH CRRE FAU LITIES <br /> , I_1 BE APPROVE� BY THE STATE OF WASHINGTON. APPLICAIlTS WITH SUCH JUBS MUST SHOW THE STATE APPROVED PLANS BEFORE A <br /> � LITY OF EVERETT PERMIT WILL BE ISSUED. <br /> NOTE: WIRING IN NON-DWELLIIIGS IS RECUIRED TO BE IN CONDUIT. <br /> I �� <br /> I HEREBY CERTIFY THAT I HAVE FEAD AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SA1AE TO BE TFUE AND CORRECT.ALL <br /> � PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS NPE OF I <br /> �' YlORK WILL BE COMPLETEO WITH WHETHER SPECIFIED HEREIN OR <br /> � NOT. THE GFANTI�G OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOIATE OR CANGEL THE PROVISIONS OF ANY <br /> � —_ OTHER STATE OR LOCAL LAW REGUI.�TING CONSTRUCTION OF THE <br /> PERFOFMANCE OF C O N S T R U C T I O N.T HAT I AM AUTHORIZED 8Y THE `� i <br /> I !,1� ` OWNER OF THIS PflOPERN TO PERFORId THE WORK FOR WHICH FEE J S � <br /> CONTRACTIOFS LAWM8.2�7 RCW�AND 296.200 WAC. ITH THE STATE <br /> I <br /> i <br /> , il <br /> ���. X —__ �z � C� � �� <br /> Date <br /> Signature <br /> 3�� � <br /> � <br /> � <br /> I <br /> � <br />