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� � � <br /> m � x <br /> > H'�C � <br /> H A 3 <br /> H z H ...... <br /> " y � � APPLIG�,TION FOR ELECTRICAL PEt�MIT <br /> '�1 H KJ . . . . <br /> VlH . . . .. ..._. . . . _ _ . <br /> H <br /> � O <br /> Hl7 <br /> � � g everett <br /> i-�+� � BUILDINGDEPARTMENT <br /> za H � 259-8810 <br /> t" y z <br /> C] C7 fHn �_/i.�:�,r. :�::'-�:>:�'�}^� <br /> �C �I - 0 <br /> � �j' L'k/1 n�j �l�Irl lr�} �i: �'/� v� C,I.i'1�I f r#' 1����.'��X� ��,fii . �(,l0.! �. '���/� �/�',��� <br /> Z y � O�vner T �ai ress tty Zi��hone J� <br /> HOfn <br /> enant �ai d�.ress ity ip hone . <br /> �l . . , /� � <br /> `� 1 ;�. .i( , iF i� / � .i:'�./l� i/�(.�' 17,(�'. (..�'4 ' 1 ;� �I:� ��',,,�•[/-1-?��� L�I�'�J�.T�14.'�(e�J <br /> ectrica on ractor ai ross ity TS one tcense # <br /> �� <br /> ontract n ce o or rupose se o u ing <br /> ro�ect ress f , � <br /> 4 7� ,L --� � 7 � � — � � � p n <br /> ����� -lI� � E l �� ' (��`" � �� �/-�i r!T/ �//�I� ' ;Cs' r <br /> 6iscriptio�Wor o e nne• /-� <br /> �� � r <br /> � c.�l��� - TVI'�l iP���,�//;��i•�/f(/ �_ I. ./)l��/"�� �� <br /> J <br /> ' O <br /> '�� <br /> ' � <br /> '�� NOTE: WAC 296-46-140 REOUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL� INSTITUTIONAL OR HEALTH CAfcE FACILITIE! <br /> � dE APPROVED BY THE STATE OF WASHINCTON. APPLICANTS WITH SUCH JO85 MUST SHOW THE STATE APPRO�ED ;LANS BEFORE l� <br /> ��� U TY OF EVERETT PERMIT WILL BE ISSUE0. � <br /> � ' NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METAL� RACEWAYS. <br /> � <br /> '�' I HEREB�' CERTiFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECL ALL � <br /> � f�' PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF , � <br /> ( WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> � NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> '�I AUTHORITY TO VIOLATE OR CANCEL THE PROV�SIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> � PERFORMANCE OF CONSTflUCT10N.THAT I AM AUTHOflIZED BY THE � ' <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOP WHICH FEE �-'`v '���� <br /> ��,' / <br /> APPLICATIOh �IS MADE AND I COMPLY WITH THE STATE <br /> � CONTRACTOFS LAW 16.27 RCW AND 296200 WAC. , <br /> X p_ �'. <br /> � �� , <br /> '��.1C:'l �,�� ����/ � �� � � /(o-�ri � <br /> Signature - � Date ���a '� <br /> I <br /> i <br /> ' <br />