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APPLICATi,,N FOR ELECTRICAL �cRMIT <br /> cin ov <br /> evere#t <br /> BUILDING DEPAHTMENT , <br /> 259•8810 <br /> �1V,�or�4 c.7. l�-� \�CUYcin 3.�� 1-1`L18S�L `�QnV��a (il(� �IF515`� �2(�� lr�l � n7`�- <br /> wnff a naar��s G1Gy iip Phona - -- <br /> �n1e(�c1 Cy..,�,��n e� �kivns C rr,�p �.]l5 �l�`' A +e�n� e � c�o 4d �1RIl I ( � �/7) 3�(� BI I 2- <br /> �nn�nc alTiCd3r��s C Cy , p ons <br /> �o��kc� � 1��-Lh� � „q_ `��c�� <br /> . eetE�"r cTTZontruto�-FTaTl��oareas ucy Zip Phon� � cem� <br /> �' 1-�--�t0°� c�t—�� t� ' <br /> . Zan[ro t r ce o or ropo�e se o u ng <br /> ac�� �_ C�s', ����,ac� �i..�,�e'�� <br /> ro tct d nu <br /> acr�pt on a or o n ona: <br /> l�.� �-o �nn �n�- �.�.i�r��le vn p n�s <br /> NOTE: MAC 296-M6-1h0 NEOUIRES THAT PLANS FOR ELECTRIGL MORN AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILIT�ES <br /> OE MPflOVED OY TMF STATE OF MASHINGTON, APPLIGNTS IIITM SUCH J005 NU57 St10M TME STATE MPflOVED PUNS BEFOHE A <br /> CITY OF EVERETT PrRMIT Wlll BE ISSUEO. <br /> NOTEr MIRINC IN NON-DMELLINCS IS REpUIRED TO BE IN METAL MCEMAYS. <br /> I 11[RC•BY CERTIFY THAT I HAVE HEAO AND EXAMINED THIS <br /> APPIICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVI910N3 OF UWS AND ORDINANCES GOVERNIN6 THI9 TYPE OF <br /> WOHK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR � <br /> NOT. THE aHANTINa OP A PERMIT DOES NOT PRESUME TO aIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PAOVISIONS OF ANY <br /> OTHER STATE OH LOCAI UW RE6UUiIN(3 CONSTHUCTION OR THE <br /> PEAFORMANCE OF CONSTPUCTION.THAT I AM AUTHORIZED BY TME /1, �� „ <br /> OWNEfl OF THIS PROPEHTV TO PERFORM THE WORK FOfl WHICH FEE `"� lc�� <br /> APPLICA�ION IS MAD[ AND I COMPLY WITH THE STATE <br /> CONiMCTOHS LAW 18.27 RCW ANU 2%200 WAC. <br /> X ,��„ � ��� :�lar 19`� <br /> Siqnature Data <br /> ���� <br /> L_� <br />