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�� y <br /> C � <br /> �Hy <br /> H� � <br /> � H � <br /> � H �tl <br /> ��� APPLICATI�1 FOR ELECTRICAL r cRMIT <br /> OH <br /> � � g <br /> �Y (� <br /> ��yH� �ever�#�t <br /> O y H BUILDING DEPARThtENT ' <br /> n C y ?59•8810 � <br /> KJ �'! <br /> H�n <br /> i <br /> H O Cn <br /> ,)oanne Plusselman Box 579 LaConncr, IJa 98cY7 P pnone <br />� wner Mai Addross <br />� Ptarcy Hoppe 10315 Sth Place W lverett, Wa 98204 353-5306 <br />�� a ddress �ty p hone <br /> enant <br /> i Dick Howard & Sons Elec. Inc. P.O. Sox 99, Lynnwood, Wa 98046 775-1918 �cense x <br /> i lione <br />� c ecen ca Lontrac[or Mai ddress � �Y P <br /> $150.00 Sin �le F il <br /> lontract rice a Wor , rapose se o ui ing <br /> 10315 Sth Place lJ Everett, lJashingCon 98204 <br /> ro�ect Atldress <br /> Repair Pteter and 1•last _— <br /> iscrip[ion ot Work o e Done: <br /> / 1 <br /> ��' <br /> ' O <br /> '�� <br /> 1 � — ' <br /> ' ' NOTE: BECAPPROVED�BY THEuSTATETOFiWASHNNGTON.ELAPPLICANTS MITHTSUCHCJOBSNMUST'SHOWTTHE STATERAPPROVEOCPLANSABEFOREEA <br /> CITY OF EVERETT PERMIT WILL BE ISSUED. <br /> ' I �Ip7E: WIRIHG I11 NON-OWELLINCS IS RECUIRED TO BE IN METAL RACEWAYS. <br /> 1r' <br /> � <br /> '�� I HEREBY CFRTIFY THAT I HAVE A-AD ANO EXAMINED THIS <br /> APPLICATION ANO KNOW THE SAME TO BE TflUE AND CORflECT.ALL <br /> � PROVISIONS OF LAWS AND OFDINANCES GOVERNING THIS TYPE OF <br /> '=' WORK WILL BE COMPLEfEO WITH WHETHER SPECIFIED HEflEIN UR <br /> NOT.THE GHANTING OF A PERMIT OOES NOT PRESUME TO GIVE <br /> � AUTHORITY TO VIOLATE OR CANCEL THE Pi70VISIONS OF ANY )� <br /> OTHER STATE OR IOCAL LAW RE6UlATING CONSTHUCTION Oft THE �� <br /> � PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE ,.� <br /> '_ ��� OAPPIICAOTFONISiSRMADE ANpPERCOAIP Y WITOHKTHE STATE FEE <br /> CONTRACTORS LAW 18.27 FCW AND 296200 WAC. � <br /> � � �_L/i� A r. � 1-19-03� , <br /> �� Signature Date ,� � <br /> � C, _ <br /> J , - '� i <br /> i <br />