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APPL1CA710N F�R ELECTRICAL PER�11T <br /> ,--. . . <br /> �:TY CF <br /> <ver��� � <br /> :UILDING DEPARTMEiVT <br /> �ss•as�o <br /> Tin,b�r's CoN trucnoN �10�- � cL CAPIrnn! wn <br /> «"°� na;i AEtlre�s EvererT wA g O 3 -4 3�4 <br /> tty �P hone <br /> ienant Mai Atldress � <br /> ��Y �P hone �� <br /> ENcf�e»tw1 /1o�1�rK5 ]_Aa5 ,S 1 0^—' <br /> ciectrtca"I o�actor MaiT7a`aress � aS/— OS4 - �,ryz(�,N= //OBE <br /> ��ty �P �one <br /> C��� tcrose � <br /> oncract rice or Work C /`!E'iQCi <br /> roposed �se or ut otng <br /> a�o4- 8 Et ,v r� 9 2OP <br /> ro�ect AtlCress � <br /> iscriation or ',vor;c io e �one: <br /> LOMJ v0 f�4 G J ECt,ll'i �„r'7eM C..o.tlN�rUdV <br /> .` a s4 - 5 a/ <br /> NOTE: NAC 296-46-140 REOUIRES THAT PL,1N5 fOR ELECTRIGIL 'NORK AT E�UC4TIONAI, INSTITUiIONAL OR HFi1l.TH G1RE FACIIITIES <br /> BE APPROVED BY THE SiATE OF WASHINCTON. AppLIGNTS 'BITH SUC4 JO85 MUST SHOW TNE STATE APPROVED PLANS BEFORE A <br /> CITY OF EVERETi PERMIi WILL BE ISSUED. <br /> NOTE: NIRING IN NON-DWELLINCS IS REOUIR:D TO BE IN METAL RACEtYAYS. <br /> 1 HERE9Y CEFTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPUCATION AND KNOW THE SAME TO BE TRUE AND CORREC7.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLETED WITH WF{E7}{Eq SPECIFIED HEREIN OF ' <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE Oq CANCEL THE PqOVISIONS OF pNY <br /> OTHER STATE OR LOCAL UlW REGULATING CONSTRUCTION OR THE <br /> PERFORMqNCE OF CONSTAUCTION.THqT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROpERTY TO PERFORM THE WORK FOR WHICH FEE ��(� �]'[� <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRAC70RS LAW 7827 RCW AND 296.200 WAC. <br /> X S�gnaturN yia � i� .5��/7z. O " l/ LS 0 U � . <br /> Date � <br /> MAY 19 igg D <br /> 2 <br /> ............ . <br /> . ......... . . <br /> CITY OF EVERETT���" <br /> Publlc Works Dept. <br /> . ? ��g8 <br /> � <br />