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S�� APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVEpEff � <br /> BUIIDINC DIVISION <br /> 3200 CmAR STREET <br /> . EVERETT. �A 98201 <br /> 259-8810 <br /> 13b�►eV� <br /> ner a �Cddress ty tate p one <br /> e�ant T�fall�ddrost ty ta e p �ne— <br /> �c-Rv�cc- CLC-LTl2�C �D BdN 1`181 SrU�►�,isik wR 5(�k-69'66 SE��e G -�'� <br /> ectr ca ontractor a I�Cdd�ese CTEy--S e e p one S a�e 1�eense o. <br /> � �, <br /> LI Q OC�D t�AQ�; i n;c� �oT <br /> ontrec r oe o or �ropose ee o u np <br /> n� ►�,a��n�� ►.T - Ac�2oss Faati, Ln�T (��{ <br /> �ro eck a�ese <br /> Dlscriptlon oi Mork To Be Done� ��12�I/L�6 1.�T �. I !F�IIN� <br /> NOTE: MAC 296-46-140 REpUIRES THAT PLANS fOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> BE APPROVED BY THE STATE OF MASHINCTON. APPLICANTS MITH SUCH JOBS MUST SHOM THE STATE APPROVED PUNS BEFORE A <br /> ,CITY OF EVERETT PERMIT XILL BE ISSUED. , � <br /> NOTEi MIRING IN NON-DWELLINCS IS REpUIRED TO BE IN CONDUIT. . ' <br /> I HEREBY CERTIPY THAT � HAVE READ AND' E%AMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND COFRECL ALL <br /> PFOVISION3 OF UWS AND ORDINANCES OOVERNIN6 THIS TYPE Of <br /> WOFK WILL 8E COMPIETED WITH WHETHER SPECIFlED HEPEIN OR <br /> NOT. THE GRANTIN6 OF A PERMIT DOES NOT f'RESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHEF STATE OR LOCAL lAW REGUUTIN6 CONSTHUCTION OH THE � <br /> PERFUHMANCE Of CONSTRUCTION.THAT I AM AUTHORIZED BY TME � C � <br /> OWNEN OF THIS PqOPERTY TO PERFORM THE WORK FOH WHICH FEE J <br /> APPLICATION IS MADE AN� I COMPIY WITH THE STATE <br /> CONTRACWHS LAW iB.27 FCW AND 298.200 WAC. <br /> X%��-a'.� A � �-�i �- s -93 <br /> Signatura Oate <br /> � ql ��' <br /> .� <br />