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APPLICATION FOR ELECTRICAL NERMIT <br /> � CIiV OF EVERETT <br /> &11lDING OIY1516N <br /> 3I00 CFDAR STREEI <br /> EVERETT. 11A 98301 <br /> 259-8810 <br /> w <br /> - i � a ,,,�S�e�, Moi..iecL 69oi g �,�c,,�,�7` w,- 9�i,3 .�s3-�svy <br /> ner a dCresa .. [��CaCe� p �one <br /> ry� . /� l 1 p.� <br /> I+IIt�IC.[L `ar(7dWP 7�l2�/ CO�ftm6�a �.i/-ry,e�' Vn- '�'.�u3 >.`)U— 0✓J`() <br /> T��a�� a rdress ty tat7Zip—�' on�— <br /> n�u��� <br /> Er r ce ontractor a fess ty CatelZ7p—F' on'�e atata ce� n�— <br /> � R[�C i C�FnI�'i n/ <br /> ontracl r ce o or —Rropose��HT(d ng <br /> ��/?y CJLuv�+P �n �'iereQ c.�'i. 9��3 <br /> ro e<t tldress <br /> l ` <br /> DlscripNon ot Mork To '.k Done: �/�S7`�r(.L C—'LP�-�rC�.,(. L�<1�.0 �\C�[ I�'C'rS <br /> /N� 4�v_•i((Jr�6rS <br /> NOTE: MRC i96-46-100 REOUIRES THAT PUNS FOR ELECTRICAL XOFK RT EDUCATIONAL. INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> BE �?PROVEO BY THE STATE OF MASHINGTON. MPLI:.ANTS MITH SUCM JO85 MUST SHOX THE STRTE APPROVED PUNS BEFORE A <br /> ,CITY OF EVERETT FERMIT XILL BE ISSUEO. , <br /> NOTE: MIflIHC IN NON-DMELLINGS IS REpUIRED TO BE IN CONOIIIT. <br /> I HEREBV CERTIFV THAT I HAVE REAO ANO'EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND COFflECT.A�L <br /> PPOVISIONS OF UWS AND ONDINANCES GOVERNING THIS T'PE OF <br /> VIOflK WILL BE COMPIETED WITH WHETHER SPECIFlED HEREIN Ofl <br /> NOT.THE GRANTING OF A PEFMIT OOES NOT PRESUME TO GIVE <br /> AUTHORITY TO YIOUTE OH CANCEL THE PROVISIONS OF ANV <br /> 0�l1EF STATE OR IOCAL UW REGUUTING CONSTRUCTION OR THE <br /> PEPFOHMANCE OF CONSTAUCTION.THAT I AM AUiNOflIZED BY THE �� <br /> OWNER OF THIS PROPERTY TO PEHFORM THE WORN FOfl WNICH � <br /> APPIICATION IS MADE AND I COMPLY WITH TME STATE <br /> CONTMCTOFS UW 1827 RCW AND 2%1W WAC. <br /> X �_ 1���� ��� ' ,��a� <br /> SiqnaNre � Oate ��--� , <br />