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MR <br /> �a l APPLICATION FOR ELECTRICAL PERMIT <br /> ,JIN OF <br /> >>H everett <br /> aHTn BUILMIG DEPARTMENT <br /> y 4X77- <br /> x 2598810 <br /> K n <br /> 40 <br /> O H O / <br /> m ym �✓tk4 i CAy �'6.' /y 'r <br /> pz /Ga <br /> t7 tltlress tY p one <br /> H wner <br /> O H one <br /> H h1 O —Axil " r–A�ess— Y P <br /> enant <br /> a- qOq .I ..F i' 75 75' •'it` �C14.N'){� ?:Y?y6 SY .S'ES�� `f4,rt.t•�f7Sd-n <br /> Y H 3 Phone cense <br /> 9 H[[++77 nctr ca Lontractor a eress tY I p <br /> Cy VJContract r ce a wor ropose sea u n9 <br /> o H <br /> IRK <br /> re ect tltlress <br /> y %1 <br /> H O Ty/1 7-Pi C� C <br /> Script en a Work ToBe one: <br /> /_ <br /> NOTE: WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE APPROVED PUNS BEFORE A <br /> CITY OF EVERETT PERMIT WILL BE ISSUED. <br /> 1;01 E: WIRIHP IN TION-DWELL I NGS IS REQUIRED TO BE IN HETAL RACEWAYS. <br /> ' 1 HEREBY CERTIFY THAT I HAVE READ AND EX 1MINED THIS <br /> _I I APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> r 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 REGULATING CONSTRUCTION OR THE _ <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH FEE <br /> cAPPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> 1 CONTRACTORS LAW 18.27 RCW AND 296.200 WAC, <br /> t <br /> i I <br /> X �_ ,..,,-. 1. . <br /> Signature Date <br />