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•----...:s... .:�,....-- . <br /> — --_-. . . . . '��i� <br /> -- .. . � � .i...r. <br /> � � .� a <br /> �� APPLICATIOnI FOR ELECTRICAL PtRNl�T �' ! � ` ' �' � <br /> t <br /> ..�: . <br /> _._-;� <br /> everett ;� � �' <br /> � BUILDING DEPARTMENT ' <br /> 259-8810 ' � • <br /> er <br /> a ross ty p one . <br /> �IC!'lAR-o F1AtaS•�� Sr�v`-e- - <br /> tn+nt <br /> a ress tCy P one <br /> � eetr ca ontractor � ai ross �tY �P <br /> one cense <br /> 1etSSnnv� � -��c�.�c� �Nc,• rn SJ���£ Ll� (o55S`f23 Ssm-e� ��1"1�� . <br /> ntr�et r ee o or nropose se o ui ng <br /> ��j � �0� I��is. �SLtS1��N <br /> ro�ect ross - <br /> a.lo o�a �lq t`� �L s vJ <br /> :er pc on o or o e one: � � <br /> [L�jQ����'� -�L1�c� ' -('Y!-c r� C\l.'Lt. -Cc n�f�� • C�'S � C1C.FC1�"t� C C�1irt�vE I,�JNl/ <br /> � NOTE: MAC 296-46-140 REOUIRES THAT PLANS FOR fLECTRICAL WORK AT EDUCATIONAL, INSTITUT�ONAL OR HEALTH CARE FACIIITIES <br /> BE APPROVED BY THE STATE OF MASHINGTON. APPLICANTS MITH SUCH JOBS MUST SHOW THE STAIE APPROVED PLANS BEFORE A <br /> . CITY OF EYERETT PERMIT WILL 8E ISSUED. . <br /> NOTE: tlIRING iN NON-DkC�LINCS IS REOUIREO TO BE IN METAL RACEWAYS. <br /> I HEREBY CEPTIFV THAT 1 HAVE REAO AND EXAMINEO THIS � <br /> � MPLICATION AND KNOW THE SAME TO BE TRUE AN�CORRECL ALL <br /> PROVISIONS OF U1WS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WOqK Wlll BE COMPLETED WITH WHETHEfi SPECIFIEO HEREIN OR • <br /> � AUTHORI VpTOTV OLATE OR CANCEL THE PROVISIONS OF A1NY <br /> OTHER STATE OR LOCAL lAW REGULATING CONSTRUCTION OR THE �r <br /> � PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER O .TH�S PROPERTY TO PERFORM THE WORK FOR WHICH FEE <br /> �APPUCAT QN��IS MAOE ANO I COMPLY WITH THE STATE <br /> CONTRAC lAW 1827 RCW AND 296200 WAC. � <br /> X <br /> Siqnature Date <br /> � I`�' �7 <br /> 1� <br />