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„�_-.. . <br /> a <br /> � <br /> � APPLI�TION FOR ELEI;TR{CHL PFRMIT <br /> ���",� � _. I <br /> ��x . <br /> � <br /> a H t~i� crtv oF I <br /> � eVeCe'tt �3 l - ]/�S� <br /> BUILDING DEPARTMENT <br /> H 3t <br /> � H� 259-8810 � C � <br /> y y� ... ��n�, /;7��. (��CfiL�-, `J i�O �3^ /1� .��'.� �J�%i':�'> <br /> �� <br /> xz p� � p �,/ j� ^/ <br /> C+7 O� �/� �/ 5'%c �SC_fJ l 'qN/]'��T�/ ��c�i�(c5 �n7C �( /� l /"i!!Y�.rC �[�[� y�' /"Itl�rt��'cr. �027.5 <br /> � ��y newb—�— Mail�i Tdress—�ity Iip hone 3`>3 -744 � <br /> /� O � <br /> M�V � <br /> x �..�� enant / ai d ress ity ip hone <br /> � y l � � <br /> H y ETectrica ontractor ail ress ity p Phona icense <br /> y <br /> ~ ����' ( <br /> C� C7 V1 ' <br /> . � �� oatract nce o or ropose se o ui ng + <br /> X H fn � <br /> H O f/� ro�ect ddross �. � <br /> �D/� �� Y oQ ���, �.<--), � Ve�re�'� � <br /> biscriptlon o�workTo e o�nev � <br /> �(�7 / /' �- E <br /> ' � I�UY�1 v^ J / O f � T�! C� C-(�C�(-' —� <br /> / t <br /> E <br /> p <br /> �� -- i <br /> �� — . :. <br /> NOTE: WAC 296-46-140 I2EpUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INS:;TUTIONAL OR HEALTH CARE FACIUTIE;P <br /> BE APPROVED BY THE S7ATE OF WASHINGTON. APPLICANTS WITH SUCH J005 MUST SHOW tr.� STATE APPROVED PLANS BEFORE li• <br /> '�— CITY OF� EVERETT PERMIT WILL BE ISSUED. . <br /> ��r NOTE: WIRING IN NON-DWELLINGS IS REDUIRED TO BE IN HETAL RACEWAYS. <br /> ,�� <br /> I HEREBY CLRTIFY THAT i HAVE READ AND EXAMINED THIS ', <br /> . APPUCATIOV AND KNOW THE SAME TO BE TRl1E AND CORRECL ALL . <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF , . <br /> �� VlOFK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR � <br /> NOT.THE CA4NTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHOA�TI''f0 VIOLATE OR CANCEL THE PROVIS�ONS OF ANY '. <br /> '�'� OTHER STA'�E OR LUCAL LAW AEGUTATING CONSTRUCTION OR THE � <br /> � PERFORMAIJGE OF CONSTRUCTION.THAT I AM AUTHOR�ZED BY THE ,�� <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH fEE <br /> . APPLICATID�J �IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTOFS LAW 1827 RCPJ AND 296200 WAC. , <br /> �._ � � t <br /> X �(H /������ IJ/�L // �- '� -'7��.� { <br /> �� � / <br /> Signaturva Date � f <br /> � <br /> i <br /> ( <br />