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APPLICA�iON FOR ELECTRICAL PERMIT <br />� <br />259-8810 <br />r <br />cilr oF Evmerr <br />eoi�oiac oivisiow <br />3700 Q�DAR STREET <br />E�EREfT. IIA 98201 <br />14o t �o?cMt Etlf�l%R �18?0 � <br />� ai a ress �y—Sei��Zjp —F onF e <br />MMTHLCRART �I�GTRIC, iNc .'P.o • bex y�iRKtAw'p wR q$si; <br />Ffe:tr ca ont a co I� � dress ey —Stac / p ���ete %ense o. <br />sz�-7�eo a�tTallrz7a,F <br />��,7'7 • AaTs . <br />ontract r ce o Wor roposeC se o u O ng <br />1234 f�� <br />ro act Caress — � — . <br />Discription of Work To e� oo��: QEMeoEI Al�ic`V,1 ��y,TvA�s ]��' �l��s <br />fE�DE1LS" Ts Sui3' t�Aw{LLS <br />NOTE: MAC 196-4G-140 REOUIRES THAT PLANS FOR ELECTRIfAL WOPK AT EDUCATIONRL� INSTITUTIONAL OR HEALTH GflE FACILITIES <br />BE APPROVED BY THE STpTE OF WASHINGTON. APPLICANTS WITN SUCH JO&S MUST SHOW THE STFTE APPROYEU PLANS BEFORE A <br />,CITY OF EVERETT PERMIT WILL BE ISSUED. . <br />NDTE: MIRINL IN NON-UWELLINCS IS REOUIRED TO BE IN CONDIIIT, <br />I HEREBY CERTIFY THAT I HAVE PEAD AND' E%AMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND COHRECT. ALL <br />PROVISIONS OF UWS AND OROINANLES GOVERNING hilS TYPE OF <br />'NORK WILL BE COMPLEfED WITH WHETHER SPECIFIED HEFEIN Ofl <br />NOT. THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE <br />AUTHOHITY TO VIOLqTE OF CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OF LOCAL UW flEGULATING CONSTHUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AURiORIZED BY 7HE <br />OWNER OF THIS PROPE(iTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND 1 COMPI,Y WITH THE STATE <br />CONTRACTOHS UW I B.27 pCW AND 296.200 WAC. <br />X �.,�. f � - �/-`��2 <br />igna[u e �ate <br />�E r��. y s- <br />