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APPLICATI�N FOR ELECTRICAL , cRMIT <br /> � "A -:iv rr <br /> y 2V2Y�'�t <br /> sy y 9UILDING DEPARTF.fENT <br /> H5y� �7�-�81� <br /> y x f+ <br /> fC C) <br /> H� <br /> '�tl H'�C � . - <br /> VrN �i� ��l�� l.,� (y..l- Ir � "1�1� 6 i. ,t� i' __ _. - `171i <br /> y z� Mai A�f�ro•.s l�[�ip T'nnn. ; <br /> a n <br /> �nrie' �--- <br /> � ^�C enan[ ai edr<ss ty ip hnne ' <br /> �-�+ [n�f0 -. r I �bi '}t "1)b � i)v Z�`�r_c* rc; ' nn � <br /> ,n� n . F. In b�,,, �11 iti I �•� .�w <br /> N � c ectr ca antrector ai ddress ty �p hone cen�e f <br /> .�. '� ;��.UC.c'0 >� ., I� fuwJ r.i�il.,,,t � <br /> i <br /> I-1 o�troct r ce o wor ropose ne o u� �ng � <br /> y I <br /> H I�83� F C�.J�• � <br /> nqqq d y Fro ect tlOress <br /> 3 C�1� � <br /> l <br /> � <br /> y Q y ]iscr�ipt�o�o Nork o e one: <br /> i <br /> (,li t �teu� 't� t�r,,. i.� �� �.+.rf, G.�il I.U �..�I � <br /> � <br /> �, ��. n � ��, � ,,, � <br /> �" '- _ <br /> i NOiE: MAC :96-46-140 REOUIRES TNAT PLANS FOR ELECTRICAL MORN Ai E�UCATIONAL� INSTITUTIONAI Ofl HEALiH CAfl� FACILITIES � <br /> BE APPROVED BV TIiE STAiE OF MR5111HGTOti. �PPLIGNTS MITH SUCH J005 NUST SHOM iHE STATE MPROVED PUNS BEFORE A � <br /> '"' �' CITY OF EVERETT PERMIT NILL OE ISSUEO. :� I <br /> � IIOTE: MIRING IN NON-DWELLINGS IS REOUIRED TO OE IN HETAL RACEW�YS• j <br /> � <br /> �^_ � � <br /> .... � <br /> 1 HEAEBV CERTIFV THAT 1 HAVE READ AND E%AMINED THIS � + <br /> APPLICATION AND KNOW THE SAME TO BE TFUE AND CORRECT.ALI. I <br /> �"� ' PROV�SIONS OF IAWS AND OFDINANCES GOVERNING THIS 7VPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPtCIFIED HEREIN OH <br /> ^ NOT. THE GRANT�NG OF A PERMIT OOES NOT PRESUME TO GIVE <br /> AUTNORITV TO VIOLATE OF CANCEL THF PROVISIONS OF ANV . <br /> ` OiHER STATE OR IOCAL UW REGUUTING CON57AUCtION OR THE <br /> I PERFORMANCE OF CONSTRUGTION.THAT I�M AU7NOHIZED BV THE <br /> pWNEii OF THIS PROPERTY TO PERFORM iHE WORK FOR WHICN FEE j � . G D <br /> APPLICATION IS MADE AND I COMPLY WITH THE STAT[ <br /> CONTRACTORS IAN�IB27 RCW AND 296200 WAC. <br /> �� � <br /> X (�� i <br /> � , I �. ��, � a � ,, ; <br /> signeture oace � ' '. � <br />