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APPLICATI�,N FOR ELECTRICAL i�tRMIT <br /> n� � ;�; ;, �i ,- - � <br /> 1YCF . " _, -' ^� ' <br /> �verett APR -§ 1992 <br /> UILDING DEPARTMENT <br /> ',;�•eeio _ _ _ .- _ - - — - - --- -- --_, _GITY �F EVERETT" <br /> _ - -- — <br /> /� .� Public Works Dept. <br /> C, <br /> �n� -�-����h �osc. <br /> ..ner Me EOreaa ty p hone <br /> �2�An-FR-�Ttcrf Y7zs ��t�uuv�-vaal �nni� L-"ve�eN `1�2�3 ss-s- 3i�Y <br /> -nanc a tltlress C� p hone <br /> .cinca onVactor a� e roea ty p none wense • <br /> ,�u��kcco �R� �zos s JAck�SvN S�ilr/te �r�vy izs-LrY7 �u•+��o�kz <br /> �ncracc FFice o nar ProOo��ie a u a nq <br /> ¢ z zo � . �o k.x�srl.vL- s. F. .e�� <br /> ic�.c[ earess <br /> �/7 z � ✓��r�u r•uG-v-v aJ L�/�- ,�urc�t�c �T"� <br /> �unpc�an o Nork o e one: <br /> Gvl�zE- iv�w s-untK.avu� -�- N�nTi�2.L�/ ie�w, ae� <br /> � G T c i��f eil . <br /> :OtE: XAC 29G•d6-140 NEOIIIRES 11NT PLnNS FOR ELECTRICAL MOflK AT EODUTION�L� INSTITUTION/.L Ofl t1EALTH GRE fACILITIES <br /> OE �PPROVED BY 71{E STATE OF NASIIIIICi0t1. PAPLIGNTS MITII SUCII J0�5 NUST SIION T1IE STATE �PPflOVED PUNS BEFOFE A <br /> CITY OF EVEflETT PERNIT MILL dE ISSUEO. <br /> iDTE� NIflIHG IN NON-DMELLINCS IS REOUIflED TO BE IN NETPL MCEN�YS. <br /> I IIEREDY CERTIFY THAi I HAVE READ AND E%AMINED THIS <br /> APPLICATION AI10 KNOW THE SAME 10 BE TRUE AND COiiRECT.ALL <br /> PROVISIONS OF I.AWS AN�OROINANCES GOVERNING THIS 7YPE OF , <br /> WOtiK WILI BE COMPLEtED WIiH WHETHER SPECIFIE�ViEREIN OR <br /> NOT.THE GRANTING OF A PEPMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITV TO VIOLATE OR CANCEL TNE PROVISIONS OF ANY <br /> OTNER STATE OR LOCAL UW REGULfQINO CONSTRl1CTI0N OR iHE <br /> PERFORMANCE OF CO':STRUCTION.TH�T I AM AUTHOHIZED BY THE �J `S�- � O <br /> OIYNER OF THIS PROP.iRN TO PERFORM THE WOflK FOR WHICH FEE S'� <br /> APPLICATION IS M�DE AND I COMPLY WIT�i THE STATE <br /> CONTRACTOFiSIhW IB27 RCW AND 296ROO WAL. <br /> xr�r�'�%� rau , - Z-�'� � <br /> Signature Oate <br /> ��,I� <br />