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�, — <br /> APPLICAI i0N FOR ELEC(T�I�►��i� <br /> U`J NOV 2 3 1994 ' <br /> ......_ <br /> aTvoF �������CITY �OF EVERETI' <br /> everett � _ P��„� Wa�,� oePt. <br /> BUIIDING DEPARTMENT , <br /> 259-8810 <br /> 32c� — ���=�_ ��. � �f c�(o �� �r� <br /> I `L� � �`-�� � �CS dT����� c � <br /> Address ty p hono �1ss,.,/Ilrq <br /> ner �-1 '1 `rJ <br /> ��-� �� hone <br /> Tenant ai d ress �Y P <br /> j�S 1-���G-�(z�t—� ��- I ZS_ S S�-1�S�s—� � . 32 3z8� <br /> eetr ca ontractor ai res, ty ip one icense <br /> ��TZ-- 1.u�3�-I-1.41 ZS?2L3 <br /> ontract r te o ar r�P opase se a ui +ng <br /> � , S � �-�`y 'Z�' <br /> ro�eec d�ess <br /> iscr�pt on o Work o e ane: <br /> A7�mc� `-tz� �sc� S-r�N C� � � ��- A-��ct�c SYST'���--1 <br /> �c���� -Pw'�N�t_ �S �_x� _r���- <br /> NOTE: MAC 296-46-140 REOUIRES THAT PLANS FOR ELECTRICAL MORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> BE APPROVED BY THE STATE OF MASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHON THE STATE APPROVED PLANS BEFORE A <br /> CITY OF EVERETT PEi2MlT WILL BE ISSUED. <br /> NOTE: WIRING IN NON-DWELLINGS IS REO!11RED TO BE IN CONDUIT. <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAMC TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WOHK WILL 8E COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOIATE OR CANCEL THE PROVISIONS OF ANY Ov <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE � ,� <br /> PERFORMANCE OF CONSTRUCTIUN.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH FEE D <br /> APPLICATION IS MADE AND I COMPL WITFl TNE STATE <br /> CONTRACTORS LAN1 18.27 RCW AND 296.200 AC. <br /> X .,c�_—���`� // ���S y, . <br /> 5' n ure Dat . <br /> �n�� <br /> � <br />