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� <br />rw; <br />���'�1\ APPLICA ON FOR ELECTRICAL PERMIT <br />� <br />259-8810 <br />cin oF EVEtt�r <br />BUIl01NG DIVISION <br />3200 CmAR STREET <br />EVFItETT� MA 98201 <br />�E� r s�aer +t <br />ner Mai d ress ty tate p one <br />$ 'I O <br />, _....,. tr�t-�d <br />, MMTNLCR/FRT l�I�GTRIG. iNc .'� o• ber y4Z K�RK��ns� w� 980x� <br />� actr cn ontractor aiTA�aress City 3ta%te p one S ate eense o. <br />; st�-y�oo a�srttpz�a�- <br />4..q.�� APTs . . <br />' ontract r ce o or �ropose se o uiTding <br />i <br />O� <br />Discription of Xork To e� oo�e: REMo'CE� ►.�fi�+s F1y.TvAN tt <br />fEE-DHIS " Ts S ua ��-��ls -- <br />NOTE: MAC 296-46-1k0 REOUIRES THAT PUNS FOR ELECTRIGL WONK AT EDUCATION�L, INSTITUTION\L OR HEALTH CARE FACILITIES <br />BE MPROVEO BY THE STATE OF MASHINGTON. APPLICANTS MITH SUCH JOBS MUST SHOW THE S'iATE APPROVED PLANS BEFORE A <br />CITY OF EVERETT PERN�T WILL BE ISSUED. , , � <br />NOTE: MIRING IN NON-DMELLINGS IS REOUIRED TO BE IN CONDUIT. <br />I HEREBY CERTIFY THAT 1 HAVE READ AND' EXAMINED THIS <br />AppIACAT1pN AND IWOW THE SAME TO BE 7RUE AND COHRECT. ALL <br />PqOVISIONS Of UWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WOqK WILL BE COMPIETED WfTFI VhiETI'�ER SPECIFlED HEREIN OH <br />NOT. THE GMNTING OF A PERMIT DOES NOT PRESUME TO GIYE <br />AUTHOfiITY TO VIOUTE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR IOCAL lAW REGUUTINCa CONSiRUCTION OR THE <br />PERFOFMANCE OF CONST1iUCTION. THAT I AM AUfHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFOHM THE WORK FOR WHICH <br />APPLICATION IS MADE ANU I COMPIY WITH THE STATE <br />CONTRACTOFlS LAW 18.27 RCW AND 296200 WAC. <br />X �_ 1 � — '-�— �.'L <br />ig�atu a Date <br />� Y3 5' � <br />3� 96 � <br />