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APPLICATI�N FOR ELECTRICAL NERMIT <br /> �vere#t <br /> ;UIID�NG DEPARTMENT j � <br /> s�•ee�o ,�_ / � <br /> I B�'- �'�r v <br /> �n11NSdN ���U.3 �w�c✓ GLY✓� �� � S�3 O <br /> ..ner na I�tlareis � e����—� <br /> SA.°l e „o�� <br /> enan[ a eoraas �y D <br /> GR/E/� �l -1 Ztir a/um CG�'a��w .Sy,.-,.,.H-.i /✓,�.�bo3� a�.�,s.��ti 6R1E13/oaScM <br /> �. eccr ea onuacco�� a res�s��ry �—�h i <br /> � I �c��� ^ <br /> � 4 PSr�["�c <br /> .antract r ce o �ork ropaseC se o m mng <br /> '�o)eGt ACG�esS <br /> y�io F w/.,. <br /> �+acr pnon o work �o e one: <br /> /�P.+�00%l �es �en-�C <br /> iOTE: NAC 296-�6-760 REOUIRES THAT PUNS FOR ELECiRIGL MOftN AT EDUGTIONAI, INSTITUTION�L OR HEALTH GRE F�CILITIES <br /> BE �PPFOVED BY TME STATE OF tlASHINCTOt1. APPIIGNTS MITN SUCN JOBS MUST SNOM THE STATE APPflOVED PLANS BEFORE A <br /> CITY OF EVERETT PERMIT MILL BE ISSUED. <br /> 'IOTE: XIRING IN NON-DMElLI11C5 IS REOUIREO TO BE I�� HETAL PACENRYS. <br /> 1 HEREBV CERTIFV THAT I XAVE READ AND EXAMINEO THIS <br /> APPLICATION AND KNOW THE SAME TO BE TPUE AND CORflECL ALL <br /> PROVISIONS OF UWS AND ORDINANCES GOVERNING TMIS TYPE OF <br /> wOFK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT.THE GRANTING OF A PERMIT DOES N0T PRESUME TO GIVE � <br /> AUTHORITY TO VIOIATE OR CANCEL THE PROVISIONS OF ANV i <br /> OTHER STATE OR IOCAL UW REGUUTING CONSTRUCiION OR T1iE <br /> PEFFOPMANLE OF CONSTRUCT�ON.THAT I AM AUTHORIZED BY THE -�i �-� ' <br /> OWNER OF THIS PROPEflTY TO PERFORM TNE WOBK FOR WHICH FEE "" c�—� , <br /> APPLICATION IS MADE AN� t COMPLY WITH THE STATE ' <br /> CONTMCTORS LAW 1B27 flCW AND 2%.200 WAC. i <br /> X ` <br /> � �� � <br /> � <br /> Signature Deee '�r� <br />