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� APPLIG,+TION FOR ELECTRIG.+L t�ERMIT <br /> everett <br /> BUILDING DEPARTMENT ��M����" <br /> 259-8870 <br /> �iC�oR Y W�( ��k �/� 9�A51 57s+ WN Q8/�S 97� ao31 <br /> e� a ret� ty p hona <br /> enurt a reu tY P one <br /> ectf c� �traciot s 1'a�� iy p one cenaa <br /> )W.JL'✓L <br /> n:.nct r ce o or ropow aa o u np <br /> �ro eet ren p <br /> �c�i00U �f< <br /> •crn �n oL ,� � a"� nz �,UI'iR[_J�Qo��R7j T�X T-4+7u12� RZ�'7/dNRiJA/1 <br /> ' ItiSL— <br /> NOiE: X�C I96-46-790 REOUIRES TiU�T PUNS FOfl ELECTRIGL MOFN AT FDl1UTI0N�L, INSTITUTIONAL OR MEALTH GRE F�CIIITI[: <br /> BE MPROVED 0Y THE STATE !IF MISHINGTON. APPIICANTS MITH SUCH JO&5 HUST SHOM THE STAiE APPRUVEO PU�S BEFORE I <br /> CITY OF EVERETT PERMIT MILL BE ISSUED. <br /> I.JTE: MIRING IN NON-DMELLINGS IS flEOUIflED TO BE IN HETAL R�LEMAYS. <br /> I HEREBY CERTIFY THAT I MAVE NEAD 1N0 EXAMINED THIS <br /> APPL�C�TION ANO KNOW 7}iE SPNF,TO BL TIiUE AND CARRECL ALL <br /> PROVISIONS OF UWS AND GFOINANCES GOVERNING Ti15 TYPE OF , � <br /> WORK WILL BE COMP�ETEO WITH WHETF+FR SPECIFIED HEREIN OR <br /> NOT.THE GRANTING OF A PERMIT DOES N0T PRESUME TO GIVE <br /> Al1THOFITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTNER STATE OR LCCAL UW REGUUTING CONSTRULTIDN OR 7HE <br /> PERFORMANCE OF CONSTPUC710N.7HAT I AM AUTHOFIZED BY THE / , <br /> OWNER OF THIS PROPER7Y TO PERFORM THE WOHK FOR WNICH FEE C °' �� <br /> APPLICA710N �IS MADE AND I COMPLY WITH THE STATE <br /> CONTMCTOflS UW 18.27 RCW AND 296200 WAC. <br /> X�..-,C�-r'�L.�✓�. <br /> Slgnature Date <br /> 3�0jj � <br />