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APPLICATIN FOR ELECTRICAL. PtRMIT <br /> IT+CF <br /> eve eft <br /> WILDING DEPAnTMENT 77� <br /> 259-8810 <br /> nner mail Addriss Y Lip one -- <br /> 1IKE 610yPr -I 3Z 9 6o{%y Fveret+ `182 n3 <br /> enant mai l Xuaress r1ty Lip <br /> Electrical Contractor a ress city p one.Z�_717V cense <br /> NIFC(of`Y f: 1 errocC .7-LO , COA.-tu, lIl n✓cYc�/ 201 M_E2C�f_ Io9P� <br /> Contract Price o Nor ropose e of Building <br /> 11' I,-700 ."T%':) <br /> rra ect Addielill <br /> 3z� 9ezU3 <br /> Ui scr vc ono oro e ones J <br /> (!� ,:tt54al/ Sub PM1t^t-pQ lK clo4 buddian ` c, nDtVe✓' �00I eg <br /> ,Feed'1 L(` ,� L <br /> (2 WtY'e OJ'{" ktUY1q\AAG `G I.Cikk tL OIVCY <br /> . T7 <br /> NOTE: MAC 296-46-140 REOIIIRES 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 PLANS BEFORE A <br /> CITY OF EVERETT PERMIT WILL BE ISSUED. <br /> NOTE: WIRING IN NON-DWELLINGS IS REOUIREP TO FIE IN METAL 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 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 REGULATING CJNSTFTIICTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH FEE Is-.LTO <br /> APPLICATION IS MAD.. AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW I8.27 RCW AND 296.200 WAC. <br /> Sign Lure Date - <br /> 3ec <br />