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APPLICATION FOR ELECTRICAL�PERMIT <br />� <br />� <br />� <br />ciTr oF �e� <br />BUILDINC DIVISIOH <br />3200 CFD11R STREET <br />EVERETT, MA 98201 <br />P�er� Ku: Kurisu Y.O. Box 2117, Tacoma, WA 98401 <br />nr.r�i r � a A ress ty �� �ete�� one . <br />Great 1Jestern Bank 909 S.E. Everett Mall Way, Everett, WA 98208 <br />enant -Fi-ai ress ty� tate p on—PFi e — <br />Plumb Signs Inc. SR3A S. Adams, Tacou;a, WA 98409 PLUMBSI077QS <br />ectr ca ontractor a ress ty tate p one tate cense o. <br />$150.00 . Financial InsYitution <br />onEr�F`r%n o or Propose� se�o�.r'iuiT in��� <br />909 S.E. Everett Mall Way, Everett,�WA <br />ro ect d ress �� � <br />Diseriptfon of Work To & Done: __ __ Install Illuminated Single Faced Idall Sign on Buildi.ng F.Z;:cia <br />NOTE: MAC 296-46-140 REQU�RES THAT �LANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br />BE APPROVEO BY THE STATE OF WASHINCTON. APPLICANTS WITH SUCH JO85 MUST SHOW THE STATE APPROVED PLANS Q�=FORE A <br />,CITY OF EVERETT PERMIT WILL BE ISSUED. � � <br />NOTE: �WIRINf, IN NON-DWELLINCS IS RF�.JIRED TO BE IN CONDUIT. <br />I NEREBY CERTIFY THAT I HAVE REAU fiN'� EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO B:: TRU� ANC JORRECT. ALL <br />PROVISIONS OF LAWS AND OfiDINAF�JES GOVE.nNING THIS TYPE OP <br />WOFK WILL BE COMPLETED WIT.i'fYFiE.TF'.ER 5?FCII"'.[� HEREIN OR <br />NOT. THE GHANTIN� OF A PERMIT OOES N()T PRE.SUME TO GIVF. <br />AUTHOqITY TO VIC+IA7� OR CANCEL THE PFO'�ISIOKS OF ANY <br />OTHER S"�A'fE Ori l OCAL LAW REGULATING CON�c7RUCTION OR THE <br />PERFOPAIANCE OF CONSTAUCTION. THAT I AM AUTHOFIZED BY THE <br />OWN4q OF THIS PROPERTY TO PERFOFiM TNE WORK FOR WHICH <br />APPL:CATION IS MADE AND I COMPLY WITH THE STATE <br />CONTfi:1CTOFS LAW 1827 flCW AND 296200 WAC. � <br />X/�/%L✓/c�i7�w ��il� ,�i-�,i 5/18/94 <br />Signature Date <br />FEE J Cl y <br />