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.1 <br /> i <br /> I <br /> APPLICATON FOR ELECTRICAL "r`.-RMIT <br /> b <br /> > Htn <br /> o �everett <br /> Co I BUILDING DEPARTMENT <br /> Q 259-8810 �J <br /> Hag <br /> 0. qo <br /> zH .T. #441- " - <br /> A H <br /> 'L+Zq ne Nail Address City Zip Phone <br /> H H <br /> g Tn H Tenant Mail Address City Zip Phone <br /> (A <br /> �+ �`m 7teurL� <br /> vovCa�eetr ca Contractor� a S' ;ItY es cense <br /> entractZa ' pr e <br /> ding <br /> r o "r= o 7w A4 SE <br /> Pr <br /> o act Lodreae <br /> ur pt on of 'Work To Be one: <br /> pov .4!!4y .4Awtyc/ . <br /> r C'� <br /> i <br /> I <br /> i L3 - <br /> NOTE: MAC 296-46-140 REQUIRES THAT PUNS 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 /> 'm NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN 14ETAL RACEWAYS. <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> 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 WI ETHER 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 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 S S on <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X yd. z_1t Q s(S i/=s/y <br /> Signature — Dates ✓J !J/�/(� y <br /> ., r <br />