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_ ^ <br /> ��,� APPLICAT�� r�OR ELECTRICAL PERMIT <br /> r �, , _ ,� , <br /> � � �� i� �_,. ':�' .5 i <br /> �-�� CITY OF EVEREfT <br /> APR 141°93 �'1 eui�niNc orvision <br /> .........:................................. <br /> ,,,, 3200 CmAR STREET <br /> ' EVERE7T� MA 98201 <br /> 259-8810 CITY OF EVERETT <br /> Public Warks Dept. <br /> Countrywood Homes 14410 Bel Red Road, Suite 2U0, Bellewe, 4�1�, 980C/ 206-644-2323 <br /> 'wner a d ress ty tate p one <br /> enant a d ress ty tate ip one <br /> Ferguson Electric Co. , Inc. P.O. Hox 1126 V�bodinville, WA 98072 206-486-8934 FERGUFx160PK <br /> : ecEr ca ontractor ai dress ty tate p one tate cense o. <br /> $3,059.00 New Residence <br /> ontract r ce o or ropose se o ui ng <br /> 5901 25th Ave W Lot 3 <br /> ro�ect d ress <br /> iscription of Work To Be Done: �+�ire a neW iE51d0[ICe <br /> NOTE: WAC 296-46-140 REOUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> BE APPROVED BY THE STATE OF NASHINGTON. APPLIGNiS WITH SUCH JOBS MUST SHOW THE STATE APPROV[D PLANS BEFORE A r <br /> CITY OF EVERETT PERMIT MILL BE ISSUED. <br /> NOTE: WIRING IN NON-DWELLIYCS IS REOUIRF.D TO BE IN CONOUIT. <br /> I HEREBY CERTIFY THAT I HAVE REAO AND' EXAMINED THIS <br /> APPLJCATION AND KNOW THE SAME TO BE TRUE AND COFFECT.ALL _ <br /> PFOVISIONS OF UWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLETED WfTH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHOFITY TO VIOLATE OR CANCEL THE PROVISIONS Of ANY <br /> OTHER STATE OH LOCAL UW REGUUITING CONSTRUCTION OR THE <br /> PERFONMANCE OF CONSTRUCTION.THAT I AM AUfHOHIZED BY THE � <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH FEE <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X --!�� 'Y/��� - <br /> � Signature Date j� � � \ <br /> J <br /> �G� <br /> �_ .. <br />