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i. ^ <br /> APPLICATION FOR ELECTRICAL PERMIT �� <br /> c�Tr oF Ev�rr <br /> euuoi� oivisioN <br /> 3200 CFDAR SlREET <br /> . . EVERETT, IIA 98201 <br /> 259-8810 <br /> ' � . �n�l 4��l'd+L� a�'�10�e3a�.�L]Q ] L '^'rL�r��,r�--Sta�—te7Zi'�,o� on�Pfi e <br /> �. n nt O a reas ty taie p one , <br /> i <br /> t <br /> � ectr ca ontractor a resa ty tate p one tate cense o. <br /> I ::>": i 5tN6[.E rA►�i�� hlrnotE <br /> � � <br /> % ' :. � ontract r ce o or �ropose se o u nq <br />, { I <br /> � ro�ect�Ci ddraa� !�Q �� <br /> � 2�0 rL�4�SoA �"_[,Fz"T2�eAc uNt F�.crN� F�SE ecll . <br />� � �F--`�` Oiscription of Wcrk To Be Done: � <br /> 7:. <br /> i I <br /> 3 � � Ao2-rAB�E �ACvzz r W� ��N .�Eec�c � B2FA� s�sr� AND <br /> i <br /> '1 <br /> ; � <br /> I NOTE: MAC 296-46-140 REOUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUT�ONAL OR HEALTH CARE FACILITIES <br /> BE APPROVED BY THE STATE OF MASHINGTON. APPLICANTS MITH SUCH JOBS MUST SHOW THE STATE APPROVED PLANS BEFORE A <br /> iCITY„OF EVERETT PERMIT MILL BE ISSUN. ' <br /> NOTE: MIRINC �N NON-DMELLINCS IS REOUIRED TO BE IN CONDUIT. <br /> � I HEREBY CERTIFY THAT I HAVE REAO AND' EXAMINED THIS . � � I <br /> pOVt ION9 OF U�D OHDIMNANCES GOVERNINC THIRS TYPE OF <br /> WpRK WILL BE COMPIETED WRM M/HETHEA SPEC�FlED HEREIN OR <br /> i NOT.THE �MN71NO GF A PERMR DOES NOT PRESUME TO GIVE <br /> ; AUTHORITY TO VIOLATE Ofi CANCEL THE PFlOYISIONS OF ANY <br /> { OTHER STATE OR LOCAI LAW REf3ULATING CONSTRUCTION OH THE �� <br /> ° PERFORMANCE Of CONSTRUCTWH.THAT�AM AUTHORIZED BY THE <br /> APPLICATFONISSRMADE ANUPE COMP4Y WIT�H TNE S{ATE � <br />� ' CTORS LAW/827 HCW AND 298.200 WAC. <br /> I <br /> i <br /> 4 j � J <br /> i ��. (jg �.. <br />� '� Signatur DaCe <br /> ;} ?s".�' <br />! <br />