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_ �--�1,-�- !S37�f <br /> � APPLICATIVN FOR ELECTRICAL � �RMIT <br /> Tvcv � lSl4LSOU' � 0 <br /> �vere#� ' f1 ' <br /> :UILDING DEPART��tENT u u NOV 2 3 lggq <br /> 59•8810 <br /> - ........................................... _ <br /> CITY OF EVERETT� <br /> Publtc Works Dept. <br /> J�s,ruc C.� P,� �r �on� ,.�� �,�c-;; S'�n�e �25i�z4 �6 �S� Y <br /> ner Mel par ss ��e l <br /> II011! <br /> enan[ al aeres5 U.y p hone <br /> F15uzr4r� ..� f�Ie�i-Crt� -;C6/.S S ��,IL<ei� Sc�o�il� Ci�r �}4- �2�J-rCrl�'Sl /-1�Fiar� �n.,�-S� <br /> iec:�1t//te31 �onLraetor M—ai�lpCr ss l. Ly eip he e <br /> .�( �/ / Il I� � L.C!lISQ i <br /> /� ^ <br /> Jllt dC iC! O! NO�K ` �Mn � ��1P7 <br /> roposetl Ise or ui O�ng <br /> �00�3 u � c.a ` � r�..l �n -�� <br /> o�ect Aaaress <br /> rD.."-I'nQ Q r.ei� � nt�ti � �ar.e� n �� .,, c -,..1� �A <br /> scnpcton or .vorK o ee Jone <br /> r7t ���� /. ., �i nn ri/� <br /> 70TE: WAC 296-46-140 REOUIRES THAT PUNS FOR ELECTRICAL MORK AT EDUUTIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> 8E nPAROVED BY TfIE STAiE :F M�HINCTON. AAPLIG:1175 NITiI SU:�i JOBS PNST ;I10W THE STA7E MPROVED p�qNS 0"eFuRE A <br /> CITY OF EVEREiT PERMIT XILL BE ISSUED. <br /> '107E: MIRINC IN NON-DMELLINCS IS REOUIRED TO BE IN METAL RACENAYS. <br /> n O�� <br /> � �'f � <br /> c� <br /> 8 � °— <br /> I HEREBY CERTIFY THAT I HAVE FEAD ANO EXAMIN[D THIS � <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PFiOVISIONS OF UWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLETEO WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. TNE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PqOVISIONS OF ANY <br /> OTHER STATE OR LOCAL UW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTFiORIZED BY THE p�� ✓ <br /> OWNER OF THIS PROPERTY TO PERFORM THE WOHK FOR WHICH FEE �� ,� <br /> APPUCA710N IS MADE AND I COMPLY WITH THE STATE — <br /> CONTRACTORS UW 1927 HCW AND 296.200 WAC. <br /> ��r�� � ��,�-��-��f <br /> Signature Date <br />