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�, �� APPLICAT�vN FOR ELECTRICAL` NERMIT <br /> , 1 r. <br /> � �� j � : � : � � � <br /> �I�I (� j r, I � ,� cm � cvo�r <br /> � � LJ ����� o���s�� <br /> SEP - 3 1S3� � 3zoo cmu sn�r <br /> . __ __ _ . ._ <br /> cvEx�r, u seiai <br /> 259-88f0 CITY OF EVERETT <br /> / Pu61ic Works Drpt. <br /> /✓�a..,P %/ivvf.c�s 5nih£ <br /> er e e r:ss ty StecclT(p on��— <br /> j�ON STu. vens l,�/O /�P��FG QY� r�' ✓�j% �`20/ J.iB 2��� <br /> enant a A res� ty— t�'��' on�— <br /> 7�{Z 70GG <br /> Cr�� ni,c �IecTv�C, ��+�vic� �O � �a5651 w 'r Wl7 Cascaesoy3�� <br /> ectr ca ontractor a �eaa t�Cete/ p one tate cense o. <br /> onVert r ce o or ropose se o m E�ng <br /> ro ect earess <br /> DlscrlpHon of Mork To Be Donn Z �b P)uG- lr�6T �,�/2��.'y" � <br /> • ` C� <br /> � <br /> NOiE: MqC 396-4F-760 REpUIRES TH6T PUNS FOR ELECTflICPL XO4K �T ECUChTIONRL� INSTIIDTIONRL OR HEhLTH GRE F�CILIilES <br /> BE �PPROVED 9Y THE ST�TE OF M�SMINCTON. �PPLICRNTS MITM SI1CH l09: NUST SHOX THE ST�TE �PPRO\'ED PUNS BEFORE � <br /> CITV Of EVEPETi PERMII' MIIL BE ISSUED. <br /> NOiE: MIRINC IN NON•DMELLINLS IS REOUIflEC TO BE IN CONDUIT. <br /> I HEREOV CERTIFY THAT 1 NAV'c FEAO �ND EXAMINEO THIS <br /> PPPLICATiON�N�NNOW TNE S�ME TO BE TRUE�N�GORRELL�i l <br /> PPOVISIONS OP UWS I1ND Ofl�INANCES GOVEPNING THIS TYPE OF <br /> wORK wILL BE CO�.�PLETE�WRH WHE'iMEfl SPEGIFIE�HEPEIN Oq <br /> NOT. THE GRANTING OF A PEPMIT OOES N0T PRESUME TO GNE <br /> AUTHOPITY TO VIOUTE OR CANGEL THE PROVISIONS OF ANY <br /> OTHER STATE Ofi LOCAL UW AEGUUTING CONSTROCTION OR THE <br /> PERFOFMANCE OF CONSi RUCTION.THAT I AM RUfHOHIZED BY TME <br /> OWNEH OF iM15 PROPERTY TO PEHFOFM THE WOPN FOR WHICH FEE ZJ. / L ' <br /> APPLICPTION IS M�UE AND I COMPLY WITN TNE SUTE � <br /> CONTHACTORS UW 18.27 RG'N AND 296200 WAC. <br /> x �, _ _ ��_ <br /> Signat/urJ� �' K� � Oeee <br /> / i i <br />