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APPLICA��'JN FOR ELECTRICAL��ERMIT <br /> :�NCF 1 '�J � � � � U � D <br /> evere#t <br /> � BUILDING DEPARTMENT JUL 19 J993 <br /> 259•8810 <br /> .... ............................................. <br /> �CITY OF EVERETT <br /> Public Works Dept. <br /> _ �ris�e�hua� Lyu,-,�o:� �c;,���G IacLz P c��/, wA 98ao3 3y� -383�- <br /> � ���a�� <br /> ��� <br /> enant a ddress 6 tY P one . <br /> , s�r�����_ ���3� s�a��- .4,,� � ►�ti,��-d �so3y 8a3-�fv�y�s�nu6x�,o,�Q <br /> ontraetor a � ress C ty p one cense <br /> �3335 � �-12c�•{�n4 suS�{e�h-� <br /> ontract r ce o or ropose se u ng <br /> ro ect dress <br /> ser pC on o or o e one: <br /> F�vrrace� a 1".�4 �.�c.� �-r.�,n,�c.- ��r�S�C:;1�cr�-iut-� — /LP ;f'Sb�+ l.- ,I <br /> � -F3vm �P (.c c��fv� e cc�A -}� C�,aS . <br /> NOTE: MAC 296-46-140 REpUIRES THAT PLANS FOR ELE�iRICAL WORK Ai EDUCAiIONAL� INSTITUTIONAI. OR HEALTH CARE FACIl1ilE5 <br /> � BE RPPROVED BY TNE STATE OF WqSH�NGTON. APPLICANTS WITH S�CII JOBS MUST SHOM THE STATE AFPAOVED PUNS BEFORE A � - <br /> CITY OF EVERETT PERMIT WILL BE ISSUED, <br /> j IIOTE: MIRINC IN NON-UMELLINGS IS REOUIRED TO OE IN HETAL RACEWAYS. , . �� <br /> j <br /> I <br /> , I HEREBY CERTIFY THAT � HAVE READ AND EXAMINED THIS <br /> � APPLICATION AND KNOW THE SAME TO 9E THUE AND COFRECT.ALL <br /> � PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR � <br /> NOT. THE GRANTINO OF A PERMIT DOES NOT PRESUME TO GIVE � ,j <br /> � AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY � <br /> OTHER STATE OR LOCAI LAW REGULATING CONSTRUCTION OR THE � �,� <br /> PERFORMANCE OF CONS7RUCTION.THAT I AM AUTHORI2ED BY THE �� <br /> OWNER OF THIS PROPERTY TO PERFOFM THE WORK FOR WHICH FEE �S � O U �� <br /> APPLICATION IS MADE AND 1 COMPLY WITH THE STATE ..� <br /> CON�RACiOFiSIAW 16.27 HCW AND 296200 WAC. <br /> ' X �-�; �.��� �l6— . _ , <br /> % � , <br /> • Signature Date <br /> � /� i <br /> �'�7 • I <br /> `� <br /> �. <br /> � <br /> � <br />