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APPLICA� ,JN FOR ELECTRICAL PERMIT <br />- ::rvOF . �e� <br /> everett <br /> BUILDIMG�EPARTP+IENT <br /> ?59-0810 <br /> ����.t•aoo� � �A 5930� 5�,��,.siT��..> .�u�i(�z.a� 35s-�l�� <br /> nec�-� , a� ^ aareas ` 1 C ty 0 none 1Y� <br /> J•.-.,.-s�. � on�� �4��}p S�,ZS �'WU.`! �r �� �,'�, �SS. ' '2Z'](IOTh�e)t. ,, <br /> enan � ra� aorcas p C1y `' ip�ne <br /> ��aay ��e�. `��^� 3t�17 ��N� S� W, �, 7�y 6� /�cl,��C 3A7V� <br /> eccn a �oncraecor Ma�l�aaress cy iv none wense s <br /> �3550`� /�i��.- �,.,..�t,, - Ca,�o I <br /> ancracc riee o xor --Praposen�s�r-PS�Taing <br /> B�"z3 � �.��; - �,.`' 1. �o� <br /> ro�ecc ao�ess _ � <br /> � � � <br /> tf�l,C_ _ . Q 1. 8^� <br /> �scnpnon or Nork e anr. � <br /> tI01E: lYAC 296-Y6•760 REOUIFES THAT PL1H5 F7R ELECTRICAL WORK AT EDL'fAT10NAL. INSTITUTIONAL OF MEALiH CARE FACILITIES <br /> 9E AFPftOVED BY TNE STdTE OF NASHINGTON. APPLICANTS WITH SUCH J005 MIlSi SH08 iNE STAiE APPftOVED PLANS OEFOflE T <br /> CITY OF EVERETT PERMIT 'MILL BE ISSUEO. <br /> NOTE: eIRING IN NOtb�WELLI11G5 IS ftEOUIflEO TO 9E IN NETAL RACEWAYS. <br /> I HEREBY CERTIFV THAT I MAVE iiEA� AN� E%AMINEO THIS <br /> APPLICATION AfID NNOW THE SAME TO BE iFUE AND COPflECL ALL <br /> PROVISICNS OF LAW$AND OiiOINANCES GOVEFNING TNIS TYPE OF <br /> WCRK WILL BE GOMPLETED YATH WNETHER SPECIFIED HEREIN CR <br /> NOL THE GflANTING OF A PERMIT DOES NOT PFESUTAE TO GIVE <br /> AUTHOAITY TO VIOLATE OR CANCEL THE P90VISIONS OF ANY <br /> OTHEfl STATE OF LOCAL LAYI REGULPTIIlG CONSTRUCTION OF THE <br /> PERFOHMANCE OF CCNSTRUCTION.THAT I AM AUTHOFIZEO BV THE �_� ( �� <br /> OWNER OF THIS PFOPERTY TO PERFORM THE Y/ORK FOfi WHICH iEE <br /> APPLICATION IS MAOE AN� I COMPIV WITM TME STATE -- <br /> W NTFlAC/TO�FS LAW 1827 RCW ANO 296.200 WAC. <br /> X I i - t C�_�l .r ��'�fZ . /� <br /> Siqnature Date ��^�1� <br /> !l/0 <br /> . � �$ . _ <br /> e, f �� s.� � , �� � h`J,�. . �,,d Sr Y . 4e. <br /> " saf`i��`�. � vz. <br />�'sln.? tt^ �-s�?''n`.w�'�9�"t.Se `�y." . . L..x`e,. x��e ��'� . ` x <br /> � '. �•"h�t��''�'R,�,�'":'..a. 5�a�i4� b'�F J~_ i� <br /> L.. <br />�, . tC.. _ x.�it" ,_,. � � �k'._ <br />