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— , 1 � � ��—� � <br /> ___. : �s u U � 0 <br /> APR 1 1 199q � <br /> APPLICATION FOR ELECTRICAL PERIVIETrr oF EVERE:R_ <br /> Public Works Dept. <br /> 0586474 ciTr or �rrr <br /> � WILDINC DIVISION <br /> 3200 CFDM STREE7 <br /> EVOtF1T� MA 90201 <br /> a�s-nn�o <br /> Perry 6 .iemi Mechem 2605 Chestnut Street Evdrett, WA 98201 258-6813 <br /> ur —______'_--Hai�Adresi_____.__ -Zily -$tnlc /ip __- hone <br /> __ , .. _ .. -___ ._ .__- <br /> . _'- _-"_- . _ '_ _,"_'___'_"_' ___ ._"__.-_.._ ' <br /> �dnl _'-.' Na�T M1dA�ese - - (��ly _. ��etr%/ip 'hom� <br /> Brinke Home Ses_u�i_tyi 141���L���1� H�15Q.5_. gent,_.YIA 980�32_ �5�1.=9]t27 gR�INK HS <br /> ectriee antraclor Mn� AdArc,a �ty tatc7Pp hi�o„c tatc wcnsc 148 LE <br /> ggg�gg Residence __ _ _ <br /> ntract73r�o or roposed se o u+�lding <br /> ':+��. <br /> 2605 Chestnut S[reet, Evere[t, WA 98201 <br /> ���{Y' o ect d ress <br /> i � <br /> ;� <br /> '!, Intrusion alarm <br />, '..�� seriptiao of F'orY. lo �c Done: _. _.—__ ._ . ._ ._____.___--_.--- <br />. t . _ _�__"___. ____ _-"'._'._ .____—_—_.- <br /> �OTE: MAC 29G-46-140 REOUIBCS INhi PLhNS FOfi ELECTRICRL WORK A� EOUCATIONAL, 11:5: 11U' .: :Ud. UR HfAU H CRRE FRCILIIIES <br />� 8E �PPROVED OY THE SV�1E OF MASNINGTOtt. A7PU CANTS NITH SUCN JOBS MU51 SHOh' :H!. SiAi( RPPPOVED PLANS BEFORE A <br /> U7Y OP EVERETT PERMII wILL �f. ISSUEO. <br /> � vOTE: NIRINL IN NON•OWEIU NLS IS REOUIRED 10 BE 11: CONDUIT. <br /> I HER[BY CERTIFY THAT I HAVE REAO AND F.%AMINED THIS <br /> APPIICATION AND KNOW THE SAME TO BE TRUE AND GORRECT.ALL <br />� pROV15�ONS OF UWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> � WORK WIIL B[ COMPLEZED WITH WNETHER SPECIFIED HEREIN Ofi <br /> NOT. TNE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE <br /> AUTHOFITY TO VIOIATE OR CANCEL TNE PROVISIONS OF ANY <br /> OTHER STATE JR LOCAL LAW �[GUUTING CONSiRUCTION O�THE <br /> PERFOHMANCE OF CONSTRUCTION THAT I AM AUTNORIZED BY THE S 30.00 <br /> OWNEiI OF 7NI5 PROPERIY TO PEHFORM TNE WORK FOR WHICII fCE _____ <br /> APPLIGATION IS�MADE ANO i COMP�Y WI7N THE STATE � -� � �� � <br /> GONTRACTOIiS UW IB 27 RCw ANb.a6200 WAC <br /> X nn�17�n�-e��' -�JI�Y �7 <br /> Siqnature Date . /l/�7 <br /> ��� <br />