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:�I'PLIC��TION FOR I;L,I:CTF� �' � 4 � <br /> � �5 <br /> C[TY ' : L•VE-RF.TT �� � DEC - 2 1993 <br /> IIUiLLING DIVIS[ON <br /> 3200 CECAR STREE"C _ <br /> EVE�, WA 98201 CITY OF EVERETT <br /> Public Works Dept. 259-8810 <br /> � THy�JcR.��/ Stc�c/�r�/%Z�S' !_'i��, ,�._,e /�1'r �i.c'i1F-rr Cc�l 9�ZU/ 2.��..i - 4�;�� I <br /> Qwue� M::il ;lddres.,� i:ity SCite/"l.ip Phane <br /> /U � — -- -- — <br /> Teoant Maif Address City State/Zip Phooe <br /> /� CNt�C•NJ�D T//y,r <br /> �/11P+' �/k� / /f�lUU2�:� �7�f�.`J � l �G'� � KMT/.�Jf� �:;(J3Z �/-0�9L <br /> lectriwl Contractor Mail Address City State/Zip Phooe State Liceose No. <br /> �9sot� SF2 <br /> Contact Price of Work Proposecl Use of Fiuilding <br /> ��/z g /�Xd..C�/Z/T(i'� ��U ZG'� <br /> Preject Address � <br /> Description of Work to Be Door.: _ ____ _ _ <br /> � �cu� �/�ixi� S�- �s .S1r <br /> L?!.�_� �-`S���S- /Z -�" <br /> I NOTE: WAC 296116-140 RBQUIRLS 'I'HAT FLANS FOR ELLCTKICAL WORK AT EDUCAT[ONAL, INSiITU'ITONAL OR <br />� HEALTH CAR� FACILITiES BE APPROVED E3Y TFIE STATE OF WASHIIJGTON. AF'PLICANTS WITH SUCH JOBS <br /> MUST SHOW Tf� STATG APPROVED PLANS BEFORG CITY OF EVF:RET PERMIT WILL BE ISSUED. <br /> i:OTE:1ViRING IN NO:Q-D'�VLLLWGS IS RI:QUIRED i0 9f: iN p1:�I'AI.I_;L R:'+CCi1VAYS (MC :1ND AC, A:;E CABLES, <br /> NOT RACEWAYS). <br />� I HEREBY CERTIFY TI[AT I FG1Vf: FZIiAD AND L.<AMI�iED 1'fi15 APPL[G1"CION ,4ND IiNOW TFIL SAME TO AE TRUE <br /> AND CORRECI'. ALL PILOVISIONS OF LAWS AND OItI)WANCES GO�'ENNING TWS TYPE OF WORK WILL BE <br /> COMFLETED WII'H 1VHETf{ER SPLCiFIED HLRF.[N OR NOT. TH[ GRANI'ING OF A PERM[T DOES NOT PRESU!vtE <br /> TO GIVE AUTFIORII'Y TO VIOLATE UR CANCEL THL PROVISIONS OF ANY OTfdER STATE OR LOCAL LAW <br /> REGULATNG CONSTKUCi'fON OR TfiE PERPORMANCE OF CONSTRUCI'fON. THAT I AM AUT'HORIZED 9Y TFI3 <br /> OWNER OF THIS PROPERTY 'I'O PERFORM THE 140RK FOR WHICH AYPLICATTOtJ IS htADE Atv'D I COMPI.Y WITf i <br /> TFiE STA'CE• COMR,4CTORS L.4W 13.27 RCW .4ND 2)6.200 NAC. <br /> �i,l_Q.�R �Q��� _ ��'� — �,�J � Fec 34.:TO'' <br /> $:� d[llf0 nhl9 <br /> /�, <br /> � � <br /> / <br /> clecepp n/5, <br />