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' � APPLICATivN FOR ELEC�TRICAI,rERMIT <br /> � <br /> r: _ �. , � ,. i <br /> � � � . . , . � ._. cnr ov tvenm <br /> f�:7 ' � 1':2 NOL' - :. , ' iwumwc oivisiax <br /> 11W CFIMR STREEf <br /> ;Cli;i'�,��_'._�.�i�:C . .. ... .. . f.VERETT� Iq98i01 <br /> • cirr or ev�a�rr <br /> 259-88f0 ru�.�ic tvmts �rpt. <br /> [�7'�r� �iu T � �icc l,� Q..[ f �� -�'Y.? 7?Y7 <br /> l�iner e rau "C1Ty��cs p one <br /> _1llM_f <br /> anan eTT re�a ty�a7Z 0 one <br /> n '3 1G •�o .S <br /> ectr ce onCractar e res ty b e p one Gta ceme o. <br /> o�����I 000 - 00 �;.f ,6&_�_- <br /> Lantnet P! ce a or �ro ofe m o Bu n�Fb�— <br /> 5�s--c�Y .%?/.l._ • <br /> ro ect roa��� <br /> Ul�cripNon af Mork To Be Dane� � � Yt���o�+ C`! L .�: ./..✓J,ru�. -�i'�. /�.�iuJS��'T <br /> � -/2.ot c �5 / - i f c. / r1 - Y�z e � .'+� �«�...cG . <br /> NOTEt Ml1C 196•\6-I�0 REOUIflES THAT PUNS fON ELECTflIGL MONN Q EDUCATION�L� INSTIiViION�L OR HEALiH UNE FACILITIES <br /> BE �PPflOVED BY T41E ST�iE Ui M�SNINCTON, �PPLICANTS MITN SUCH JOBS MU57 SNOM TIIE ST�TE APPFOVED PLANS BEFOflE A <br /> CITY OF EVENETT PENMIT IIIIL BE ISSUEU. <br /> Np1Et MIRINC IN NON-DMELLINCS IS kEOUIRED TO BE IN CONDUIT. <br /> I MEREBV CERTIFV THAT I HAVE AEAD AND E%AMINED TNIS <br /> �pPIu.ATIUN ANU NNOW iME SPME?O BE TRUE ANO CORNECT.0.L <br /> PROVISIONS OF UWS AND OH�INANCES GOVERNING TNIS n'7E OF <br /> WORK WILL BE COMPlETEO WITH WHETIEH SPEqFIED HEFEIN OH <br /> NOT. TME GRANTINQ OF A PEFMIT OOES NOT iRESUME TO GIVE �� <br /> AUTHOfi1TY TO VIOUTE ON CANCEL THE PROVISIONS OF ANY '1 ",,� i �'" - ` <br /> OTHER STATE OP LOCAL UW RECaUUTING CONSTRVCTION OR T11E � � �� <br /> VERFORMANCE OF CONSTRUCTION.THAT I AM�UTWJRIIED BY TME b <br /> OWNEH OF TNIS PNOPEHTY TO PERFONM THE WONK FOR WHICH FFE � . <br /> �PPLICATION IS MADE �NO I COMPLV WITH TNE ST�TE .-y. � <br /> / '—_ <br /> CONTRACTONS UW 1l17 FCW�ND 2%.000 WAQ �� <br /> J �7 i �01 <br /> x ) � ' l ' ;-,� D�>�%%� � <br /> Siqn1[ura � Oeb <br />