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APPLICATION FOR ELECTRICAL PERMIT <br /> � cin oF �tr <br /> BUIIDINC DIVISIOX <br /> 7100 CmM STREEI <br /> EYOtEfT� IIA 98101 <br /> 259-88f0 ' �/ 3 <br /> 1"n� ( L L �/�'� �13�� ��J4nCcL/ � � '7oU�q .J5 $-�i 7.�+ <br /> ner e a reas ty teteiZ�--P oni� <br /> AJe�� ' <br /> enant a 0 resa ty tece/Zip�'hone <br /> �� (, , � k33��hd�.cJ�C �c✓ w� ,?Sf-�1S�L <br /> ecu ca on[rectar at tlress ty tate D ane G[e cence o. <br /> �'�Q'� V 5 y�llV. {0.M�11 I11. .52� _l <br /> antrect r ce o or -P�opo6! ne o u np <br /> D W a.�l '�^y S <br /> � 010 cv�b..i <br /> �0 eCt Gd�l56 <br /> Olscriptian of Mork to & Done: � Qu..l.�(3.G] ( �TKti`�'� �.� \ �'�'�L� <br /> NO1E: XAC t96•46-1V0 REOUIRES THAT PLFNS FOF ELECTfl�LAL NORR AT CDUWTIDNAL� �NSTITUTIDNAL OR HFALTN GRE FAU LITIES <br /> BE APPROVED OY THE Si�TE DF MASNINGTON. �PPLICANTS NITH SUCH J095 HUST SHON iNE STATE hPPROVED PUNS BEFOfiE �{ <br /> CITY OF EVERETT PERMIT NILL 6E ISSUE�. <br /> NOTE: NIflINC IN NON-�WELLINLS IS HEQUIRC� TO OE IN CONDUIT. <br /> I NEREBY CEHTIFV THAT I HAVE READ AND� EXAMINE�THIS <br /> APPLICATION AND NNOW THE SPME TO BE TRUE AND COFflECL AL <br /> PROVISIONS OF UWS ANO OR�INFNCES GOVERNING THIS TYPE OF <br /> WORK WILL BE CGMPlEiEO WITH wHETHER SPEpFIED NEREIN OP <br /> NOL THE GHANTING OF A PERMIT OOES N6T PRESUME TO GIVE <br /> AUTHOAITY TO VIOUTE OF CANCEL THE PROVISIONS OF ANY <br /> OTHER SUTE OF IOCAI UW FEGUTATING COUSTRUGTION OR THE <br /> PERFOqMANCE OF CONSifll1C7�ON.THAT I AM AUiHOFREO 9Y THE �L <br /> OWNER OF iH15 PROPEFTY TO PERFOiiM THE WORK FOR NMICN F[E /�,/� <br /> APPLICATION IS MRDE AND 1 COMPLY WITX THE STATE <br /> GONTR�GfOPS UW 18.77 RCW AN�296200 WAC. <br /> ���..� p�a -���.� l n � <br /> Signature Oa[e <br /> ���� <br /> J <br /> r _ <br />