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Y.�� <br />� <br />i � � ,,,W. ,_,:: <br />APPLICATION FOR ELECTRICAL P��MIT <br />r <br />? :ITY OF <br />� evere#t <br />> BUILDING DEPARTMENT <br />; 259-a810 <br />�„ <br />� <br />none <br />wner u <br />a� ddr!ss �tY P <br />:/�i{42���� N V 1�L� ' f38 SZi �5 ^ � one Z`�7 S' ZO� � <br />enant ai d ress �Y � <br />Sa�Q� o�� �cen�e <br />eetr ca ontractor a� ress tY P <br />_' '_.. ' _' u.-., ... _. ... � <br />4i <br />38- 50 <br />ff <br />q tVEeErr <br />>poseC se o ui i <br />S��- <br />T,�fia U G,e= <br />�17/1.J ci�c,,�+ <br />NOTE: MAC 296-46-140 REOUIRES THAT PLANS FOR ELECTRICAI tlORK AT EDUCATIONAL, INSTITUTIONAL OR HEAITH CARE FACILIT�ES <br />BE APPROVED BY THE STATE OF WASHINCTON. APPLIGNTS MITH SUCH JO05 NUST SHON THE STATE MPROVED PUNS BEFORE A <br />CITY OF EVERETT PERMIT Wlll BE ISSUED. <br />NOTE: WIRING IN NON-OWELLINGS IS REOUIRED TO BE IN METAL RACEWAYS. <br />� 1 HEREBV CERTIFY THAT 1 HAVE READ AND E%AMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECL ALL <br />� PROVISIONS OF UWS AN� ORDINANCES GOVERNING T415 TYPE OF <br />- WOqK WILL BE COMPLETED WITH WHETHER SPECIFIE� HEREIN OR <br />NOT. THE 6RANTING OF A PERMIT �O�S NOT PHESUME TO GIVE <br />AUTH091TY TO VIOLATE OR CANCEL THE PROVIS:ONS OF ANY <br />- OTHER STATE OR LOCAL UW REGUI�TING CONSTRUCTION OR THE <br />OWNER OPNTHIS PROPERTY TO ERFORM TI+E WORK'FOF WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STA7E <br />� CONTRACTORS U+W 1027 RC AND 296.200 WAC. <br />X � �—� (a -� — � L-- <br />Sign Wro � � '�- �ate <br />FEE d S-DO <br />K� <br />