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���' <br />m�x <br />>yV�i <br />H � i�-� <br />� H� <br />�H� <br />fn H <br />Hx <br />[A O <br />p H �7 <br />H�g <br />(�] Y (7 <br />t" y � <br />HH <br />g� <br />o t7 c�i� <br />��� <br />H cn <br />H O Cn <br />�^ <br />APPLICATIVN FOR ELECTRICAL F�:RMIT <br />:;rv cF <br />everet�t <br />3UILD�NG DEP�f1T��1�NT <br />_59-8810 <br />%/�! rr, qq <br />L � O� t— �l� �7! �"c.c: �l <�iE'c: r i G J.w � <br />._ Mw�l AAnrrns tCy �p <br />5a�.< <=� <br />�enart Mai tltlres; i�y i7 �yFno�j�j-' �J <br />G��N. lLG<!. J4J-L<� 'S�:.r:� /�.� ��L��C�/ /�[(fJ^i.'f/!`77�'-• <br />¢ ecTn ca ontractaf Mal atlross lity i0 hone lcense # ' <br />�c c� t� <br />� ot Wark <br />oZ S/ Trt Sc�J <br />ss <br />/j%l= �cJ <br />scr <br />�:��. <br />0 <br />� <br />c/<"�/ t c—�. <br />'lOTE: WAC 296-46-140 REOUIRES THAT PL��75 FOR EL'eCTRICAL WORK A1 E�UCATIOIJAL, INSiITUTIONAL OR HEALTH CdRE fACILITIES <br />BE APPROVED BY THE STATE OF WASHINGT011. nPPLIG11�T5 WITN SUCfi J0�5 MU57 SHO'N iHE STATE APPftOVED PLANS BEFORE A <br />CITY OF EVERETT PERMIT 'NILL BE ISSUED. <br />:IOTE: WIRING I1� NON-DWELLitlCS IS P,EOUIRED TO BE Itl METAL RACE14AY5. <br />I HEREBY CEaTIF'Y THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND COFFECT. ALL <br />PqOVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED W�TH WHETHER SPECIFIED HERE!N OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUTAE TO GIVE <br />AUTHORI'Y TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHEP STATE OR LOCAL LAW REGUWTING CONSTRUCTION OR THE <br />PEFFORMANCE OF CONSTRUCTION. THAT I AM AUTHORRED 8Y THE <br />OWNER OF THIS PROPERN TO PERFOFM THE WQRK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTF/A'�CTORS LAW 1827 RCW AND 296.200 WAC. <br />X' 1 /O?I /YT'""'� _G-� �' /�' �� <br />Signature Datc <br />FEE �� � �' <br />.������, <br />u <br />0 <br />