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. . APPLI�ATIG.�; FOR ELECTRICAL F ,RMIT <br /> an cF <br /> evere#�t <br /> 3UILDING DEPARTti1ENT � <br /> 359•8810 <br /> •r a d reas ty p hone . . <br /> /� �=/� U�U�fr-.v 4�� 33 CL,LN (y'OOD z5� —/SS 6 <br /> �nant a ress ty p ane . <br /> S/}'l'7 FL <br /> c �eCn ca nOraetar a resa ty p hone eanse <br /> �/=r c�s 2 L.�c_ 93// /RS�S T 6� -s.voira.7�S.tl �6 2�0 ���S�Z� �n� <br /> Lonerace r es o or , rapoae se o u ng <br /> ro eet reaa <br /> �G 33 G L��.,.r�c.� o a /.� <br /> ser pt on o Nar o a ne: <br /> -�i.� i 2 ,;- c .� .e % �,9-« .��-z �/3/,-;.�- /a/` .�,fl�Di T, a�c <br /> -- . . <br /> �ro �4 5 v .3 ,�'.4--�c � L <br /> n r-�� <br /> ( ,u_� ���� �o ��cs � - -I-c ,�� , <br /> NOTE: MAC 296-46-iK0 REOUIRES THAT PLANS FOR ELECTRIGL NORK Ai EDUCA710NAL, INSTITUTIONAL OR HEAITH CARE FACILITIES <br /> BE APPROVEU BY THE STATE OF MASHINCTON. APPLIGNTS MITH SUCH JOBS MUST SHOM THE STATE APPROYED PLANS BEFORE A <br /> CITY OF EYERETT PERMIT MILI BE ISSUED. � <br /> NOTE: IIIRING IN NON-DMELLINGS IS REOUIRED TO BE IN NETAL MCEMAYS. <br /> I HEREBY CERTIFY THAT 1 HAVE HEAD AND EXAMINEO THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIGNS OF LAWS AND ORDINANCES GOVEFNING THIS TYPE OF , <br />� WORK WILL BE COMPLEfEO NATH WHEIHER SPEGFIED MEREIN OR <br /> NOT. THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE , <br /> AUTHOHITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL U1W REGULATIN(3 CONSTAUCTION OR iHE / <br /> PEfiFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE �J <br /> OVYNER OF THIS PROPERTY TU PERFOHM THE \YOflK FOp WHICH FEE <br /> .�PPL�CATION IS MADE AND f COMPLY' WITH THE STATE <br /> CONTRACTOflS lAW i6R7 RC'N AND 298.200 WAC. <br /> �( � f <br /> _ �y�/ ��_ ���/r�-� <br /> Signature • Date <br /> . �.alv7� <br />