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' 1/�y� ; <br /> '�� ( 3o1Z <br /> o�o� ' <br /> i <br /> APPLICATION FOR CLECTRICAL PGRMIT <br /> C�I'Y OF 6VEREI'! � <br /> BUtLDINO DMSfON � <br /> 7200 CEDM STREET <br /> EVERET,WA 9l301 � <br /> Y58-B8I0 <br /> BOEING COMPANY P.O. BO% 3707 5EAT1'LE WASHINGTON 98121 J/2-73�9 <br />' Owoer M�il Addrtn Ciry Siate/Zip Phooe <br /> Tmml � � M�il Addrctt . Ciry SIaWZip Phooa <br /> FLETCIiER INDUSTRIAL, INC. P.O. BO% 1�17 , MUKILTEO, WASHINCTON 9B275 3�2-7953 � <br /> Elxtriui Con1�Wr M�il Addrev Cilr S�a4/L� Phooa Siata I�anae No. <br /> �#NliSGU' °C _QEF�c�s <br /> Conln<I Price of Work Propoud Um of BuilJinj � <br /> i 3�;03 �,�. (�as�,c.b x�n;. <br /> Pmjal Addrtu n <br /> ' DetcriplianofW(arkloBeDaoc: }� 4L�. y QO[��llw Q PR.,�u i �i��,k"q <br /> -�11�. - 0 F�_1]n�:).L- �i !:..i n i. . 1 1:.: :.n hR ��_t. In _� • i�-.�. <br /> _ _ v.i an <br /> % V <br /> _� <br /> ' NOTE:WAC 296�6-110 REQUfRFS THAT PUNS FOR FJFClRICAL WORK AT EDUCATfONAL,INSTIN(70NAL OR <br /> HEALTH CAAE FACILITfES BE APPROVED BY TH6 SfATE OP WASFflNGTON. MPLICANTS Wi'17{ SUCH JOBS <br /> MUST SHOW THE STATE MPROVED PLWS BEPORE Cfl'Y OF EVERET PERMIT WILL BE ISSUED. <br /> NOTE:WIRINO IN NON•DWELLINOS IS REQUIRED TO BB IN MEfAWC RACEWAYS(MC AND AC,AR&CABLES, <br /> NOT MCEWAYS). <br /> 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPUCAi10N AND KNOW THE SAME TO BE TRUE <br /> AND CORRELT, ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNINO THIS TYPE OF WORI( N71L BE <br /> COMP[.EiED H7TII WHEfHER SPECIFIED HEREIN OA NOT.THE ORANTING OF A PERMR DOFS NOT PRFSUME <br /> 70 GIVB AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER SfATB OR LOCAL LAW <br /> REOULATIN6 CONSfHUCf10N OR TNE PERFORMANCE OF CONSTRUCf10N. T11AT I AM AUTHORIZED BY iHE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORIC FOR N7iICH APPUCATION IS MADE AND 1 COMPLY K7TH <br /> T11E STATE CON7AACTORS LAW 1l37 RCW AND 296.2W WAC. <br /> x � ' N��. � � % � �A �� rr��..dd <br /> � "1'. ��' :7-Z Fm� <br /> i � <br /> SiQmWrc Dale <br /> �/�}��l I a�� <br /> d•••rv wsron <br />� <br />