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� � � APPLIC�►� ION FOR ELECTRICA� PERMIT <br /> ty y I <br /> H � � � <br /> I] M <br /> CfTY OF I <br /> o a � everett � <br /> ro y H BUILDING DEPARTMENT <br /> � � � 259•8610 <br /> O N(� <br /> M W � <br /> G1 • <br /> � y �4'j (y20 y /,�,¢�ed 9�b 6 3�-z a5 -° �s <br /> ner Mail Address ity tp hone � <br /> N � <br /> N <br /> N I <br /> � C y Mai tl ress tty ip hone <br /> ea � enant p / <br /> � m Hf.12 0 5 �y �7�ri14tl f� �L+°NDNi r�1�L/`� hon��Zicen� �7�J� �. <br /> ec rical ontractor ai d ress �tY P <br /> ontract riee o Wor � ropase se o ui din9 <br /> $ � Pt. <br /> ro,7ect ddress ^ <br /> 2 ao <br /> iscription o Work o e one: <br /> � <br /> I <br /> / � <br /> r���, <br /> I <br /> I <br /> 1 �� 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 WASHINGTON. APPLICANTS WITH SUCH J085 MUST SHOW THE STATE APPROVED PLANS BEFORE A <br /> � CITY OF EVERETT PERMIT W.ILL BE i55UE�. <br /> NOTE: WIRING IN NON-DWELLINGS IS REOUIRED TO BE IN METAL RACEWAYS. <br /> I __ <br /> - �I I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> ' APPLICATION AND KNOW THE SAME TO BE TRUE AND CORPECT.ALL <br /> i �-1 i PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS T(PE OF . <br /> WORK WIL'.BE COMPLEfED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> � AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY '�� <br /> ,� �_ OTHER STATE OR LOCAL LAW REGUTATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> ' �t 1 � OWNER OF THIS PROPERTY TO PERFORM THE WOFK FOR WHICH FEE lS ��` <br /> APPLICATION IS MADE AND I COMPLY W�TH THE STATE <br /> I CONTRACTORS LAW 1027 RCW AND 296200 WAC. <br /> ��"' X G Ly 9t <br /> � Signaturo Date �� <br /> , . � <br /> �� ' `� <br /> � �r:, <br /> „ , <br /> �, i <br /> � <br /> E, Y' <br /> I <br /> � <br />