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APPLiCATION FOR �LECTRIC,4,I, pEg�T <br /> CITy OF EVERE77' <br /> BUILDIPK7 DIVlSION <br /> 3200 CEDAR ST'REET <br /> EVERET(', Wq 98201 <br /> � 258-B8f0 <br /> � ttiSffin , 1`/,'/S— /.� �',. . � nc�!/n,s �4 <br /> n7u1 Address —`���� �-� 9�ZOY <br /> --_ 7ys-239� <br /> c�cy svcuz�P -�— <br /> � �a ; � <br /> Teo�nt 1�7�i1 Addross � ���f' <br /> Ciry S4WZip <br /> . Phoae <br /> r <br /> fi�xt+ial ContncWr M. � eaa � �� � 75�5 5�73� rNr e <br /> ..-��'«, DG <br /> �'6,�� C�tY State/ZrP Phoue State License No. <br /> Con nct Pnce of Work 1dC¢t��„�r <br /> �/ proposed Uae of Building — <br /> 7 �rZ S �:� �e c ' n id �lw i .P"n <br /> pm�.,.� eaa�__ <br /> --v�......�cas - --��� <br /> Deacription of Work to Be Done: �/J��, [/p�� /�n <br /> �+6--11TS`✓ SPr '�i � � _ _/ Y '. � <br /> �� <br /> V (/ <br /> N,07'E:WAC 296-46-1401t&QiJIR�s '17;pT PLANS FOR fiLEC7'RICpL WORK AT FiDUCAT[ONAL INS <br /> �A1-TH CAI� FACILffIES B& APPROVED BY THfi STAT& OF WASHINGTON. APPLICAN7'S W�[; SUCH JOBS <br /> MUS7'SHOW 7'�STAT6 qppROVED PLANS BSFORE CI7'Y OF EVfiI�ET pg[�{(7��j,t,BS ISSUfiD. <br /> N��:H7RINC3 IN NON-DWELLiNOS IS REQUIRfiD TO B& IN METALLIC RAC&WAYS (MC AND AC, ARg Cpg� <br /> NOT RqCEWqyg�, <br /> � <br /> �HER6BY CBRT[FY 7'FIqT I HAVB]ZfiAp M(D ExqMiNED 7'F;IS APPLiCATlON AND I(WpW 7'[�gqM&TO B&7RU& <br /> � �ti��CT• ALL PROVfSIONS OF LAWg pND ORDINANCES GOVERNINC3 TyIg 7�ypfi OF Wp� yylid, BE <br /> COMpl,E'fEp qr�(.J y�;ETHER SPfiCIF(ED H&REIN OR NOT. 'I'HE GRAN'(7Na OF A PERMI'I' DOES NOT PRES[!]Kg <br /> TO GNfi AU7NpRI7y TO yIpLAT� OR CANCEL THE PROVlSIONS OF ANy p77�[ER STAT& OR LOCq(, (,��y <br /> REQULAT7N0 CONSTRUCTION OR THfi PERFORMqIJC& UF CONSTRUC770N. THAT I AM AUTFIORiZSD BY THE <br /> OWNER OF THIS PROPfiRTY TO PERFpR]r( 7'}�y�rp�FOR W}IICH APPLICATTON IS MADE AND I COMPLy W('('y <br /> 7Hfi STATE COMRqC('ORS LAW 18.27 RCW AND 296.200 WAC. <br /> x . <br /> Sign�turo `�!"S � Fa / v <br /> DNe <br /> �9/ <br /> ��«•cv onro» <br />