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4 <br /> � <br /> . RBM1biR9lfi <br /> fL <br /> `� <br /> 4Y.3' ➢ <br /> F <br /> O <br /> LL <br /> ���� � � <br /> � � � _ � <br /> � br�.�." l a�Y'n„a: <br /> �....... .-' e.:'.,. . . . � ...: � <br /> ` ��� .�. . . .... ' . . .i .. �.. ... ... .. . . . . - , �� . <br /> ��� APPLICATIC� FOR ELECTRICAL F�RMIT <br /> ��� � <br /> � Q�� � CITV OF <br /> �y� everet't <br /> '. BUILDING DEPARTMENT � <br /> �� 259-88?0 <br /> � <br /> �� �' ,�,f�S /39ai 3p�`'s: .L�� y'�o7G 9rG -.�3s <br /> �� �/�G� „L Mat ddress —�+ty �p hone � <br /> — ner <br /> . U '-'✓� —� . <br /> aiT ddress ity �p hone <br /> �r.t I` <br /> ene <br /> ,��� �L�c. b'Si 9 /7/t;r�Is .C�L�,.rti p3'z!a S� F-GsZ� �,11�� <br /> hone icense � <br /> : eMnca ontrar,tor 'Ma: ddress ty ri� _ � � <br /> � • <br /> � L� <br /> ontract rir.c a 'Nor ropose se o ui ng <br /> .S� / `��-N �L. S E , ��c�r r"'s+ <br /> ro ect Address � <br /> . ecnptian n 'Nork a e one: �— <br /> � O � ' � �w�s�. �L� <br /> ; �_��,_ <br /> ��� <br /> � ( i <br /> ,I �� • <br /> NOTE: '�VAC 296-46-14U REOUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL� INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> � � - CITYPOF EVERETTTPERMITTWILL BESHSSUEDN APPLICANTS WITH SUCH J085 MUST SHOW THE STATE APPROVED PlANS BEFORE A . <br /> I 1 <br /> I - NOTE: 'dIRING IN HON-DWELLINGS IS REOUIftED TO BE IN METAL RACEWAYS. I <br /> i <br /> � �LI"i ' <br /> '; I HEREBY CERTIfY THAT I HAVE READ AND EXAMINED THIS � <br /> pqOVISIONS OF LAWS AND ORDINAN ES GO ERN NG TH S TYPE F ! <br /> � WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE�N OR ' <br /> � �� NOT. TiiE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE ' <br /> AUTHORITY TO VIOLATE Ofi CANCEL THE PROVISIONS OF ANY i <br /> OTHER STATE OFi LOCAL IAW REGULATING CONSTFUCTION OR THE p <br /> � �� pERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORRE�BY THE FG i <br /> AOppLICATION'SISRMADE ANDPE COMPLY WITOHKTHE STATE FEE .� <br /> CONTRACTORS LAW 1827 RCW AND 296200 WAC. � <br /> _ . I <br /> X / 3 F2 � <br /> Signature Date � <br /> � �j�2� � . �. <br /> � <br /> i <br />