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APPLICAT �JN FOR ELECTRICAL �.ERMIT <br /> _ ... _.. cin oF �r�r <br /> BUILDING DI`/ISION <br /> 3200 CFDAR STREET <br /> EVFREIT, YA 98201 <br /> 259-81J10 <br /> n- �o�t�i�s�n/ �3/� Co�v��1A fu 98'Zo3 <br /> ner ���aress ty tate p hone <br /> ���E one — <br /> enant a reaa ty tate p <br /> G N� ,E 2900 EU �xo3 .25��l�i3C GRAa���ZYsac <br /> ectr ca ontractor a ress ty tate p one tate ieense o. <br /> � SFD <br /> ontract r ee o or �ropose se o ui ng <br /> �3�s Co un�6iA <br /> �ro3eet 7�d�ress <br /> , ,,.a,t��G,./,l'e, <br /> Discrfptfon of Mork To Be Done: (�Y'e� '7Y��� � �'�''e� <br /> NOTE: MAC 296-46-140 REOUIRES THAT-PIANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTI.'1NAL OR HEALTH CARE FACILITIES <br /> BE APPROVED BY THE STATE OF MASHINCTON. APPLICAlAS MITH SUCH JOBS MUST SHOM THE STATE APPROVED PLANS BEFORE A <br /> CITY OF EVERETT PERMIT MILL BE �SSUED. � <br /> NOtE: MIRINC IN NON-DMELLINGS IS REOUIRED TO BE IN CONDUIT. <br /> I HEREBY CERTIFY THAT I NAVE READ AND' EXAMINED THIS <br /> APPLICATION AND IUIOM�Tt1E SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF UWS M1D OfiDINANCES GOVERNING THIS TYPE OF <br /> WpRK WILL BE CAMPLETED WITH WHETHER SFECIFlED HEREIN OR <br /> NOT. THE GRANTINa OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OH CANCEL THE PROVISIONS OF ANY U <br /> OhIER STATE OR LOCAL UW REGULATNG CONSTRUCTION ON lHE �� o <br /> PERFORMANCE OF CONSTRUCTION.TF1AT I AM AUTHORIZED BY THE <br /> APPLICATIONISSRMADE ANDPE CO PLY W�T�HKTHER ST TE FEE <br /> CONTRACTORS U+W 1827 PCW AND 296.200 WAC• <br /> X 9-/3 ''f3 <br /> gnature Oate � � <br /> � <br />