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APPLICA,'ION FOR ELECTRICAL PERMIT <br /> 7 �Ht N <br /> tM' y s <br /> H L r�r�1 <br /> � H 71 <br /> b N N CITYOF <br /> z everett <br /> 2 BUILDING DEPARTMENT <br /> x 0 0 2596610 <br /> H � <br /> Z H <br /> 4L— vor yf/z <br /> ?S •+ <br /> c rn Owner / a rens —�itY p none <br /> y Tan/rC�O KF Ch�,s_ra.� Cl�kc �� /��/O Z'O SG✓ 4i�d�'vT91J 40/ 5 -- <br /> a �Cddress y / Zip Phone t� <br /> --�. - Jlf r'llHC __ -- <br /> ectr Lon <br /> ce ntrac � a ress ul uy zip Phone License <br /> 7— <br /> contract Price OT work� ----T'ropose ac o u a I ng <br /> l //C/ O S L✓ Ly <br /> ro ect o rest <br /> scr pt on o or o e o <br /> Seat <br /> _ - <br /> IJI <br /> NOTE: MAC 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 PLANS BEFORE A <br /> CITY OF EVERETT PERMIT WILL BE ISSUED. <br /> VON&oats, NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BF IN METAL RACEWAYS. <br /> 1 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 /> v 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.TH7.T I A..I AUTHORIZED BY THE — <br /> OWNER OF THIS PROPERTY TO PERFORM fli.' WORK FOR WHICH FEE <br /> APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> _ CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> gnauure -� Date <br /> 37 i e-3 <br />