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,_ APPLICAi JN F0� ELECTRICA� ?ERMIT <br /> � CITY OF EV[fiEfT <br /> WILDING DIVISION <br /> 3200 CmM STREET <br /> EVEREfT� YA 98201 <br /> 259-8810 <br /> lR �50.2r/ LCfINfCXRPl /P'O.T LaNRARD �U hlh7.Of7T .(�A 9P10I .,93:7 -�3�� <br /> ncr T Ma�TSEdress ity State/ ip Pnone <br /> enant Ma� tldress �ty tate �p nane <br /> r <br /> �LCEII i reie- i�,�ot /8�'/�AJIs .UE ltb+dNJi � 9(/o7J 7B'8'�9ff.� _ �,�n�EE /[�-�� <br /> ectnca ontractot —�� djess C ty S[ C / p h tat L 5 IJ <br /> �Qp � SF� <br /> ontract n c�—wor 3roDoseE 1— s� u� Ging <br /> �O���d10MBAP"1 .4�JF l—ut-(t.2LT ��� 9��7I <br /> Oiscription of Work To Be �one: G'•.n�.A�c oo1L � <br /> NOTE: WAC ]96-Y6-740 REOUIRES THAT PLANS FOR ELEQRICAL WOflK fiT EOUCATIONRL� INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> OE APPROVEO BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE 0.PPROVED PLANS BEFORE A <br /> CI7Y OF EVERETT PERHIT WILL BE ISSUEU. . <br /> NOTE: WIRINL IN NON-UWELLINGS IS REOUIRED TO BE IN CON�UIT. <br /> I HEREBY CEflTIFV THAT I HAVE flEAO AND EXAMINED THIS <br /> APPLICATION AND KNOW TME SAME TO BE TPUE AND CORflECT.ALL <br /> PROVISIONS OF LAWS AND OROINANCES GOVEFNING TH�S 7VPE OF <br /> WOflK 141LL BE LOMPLETED WITH WHETHER SPECIFIEO HEREIN OR <br /> NOT.THE GRANTING OF A PERMIT OOES NOT PPESUh1E TO GIVE <br /> AUTHOFITY TO JIOLATE OR CANCEL THE PFOVISIONS OF ANY <br /> OTHEFi STATE OR LOCAL LAW FEGULAT�NG CONSTRUCTION Ofl TME <br /> PERFOFMANCE OF CONSTRUCTION.THAT I AM AUTHOFIZE�9Y THE �, os'� <br /> OwNEfl OF THIS PROPEFN TO PEFFORIA THE WOFH FOR WHICH FEE � <br /> qpPLICATION IS MADE AN� I COMPLY W�TH THE STATE <br /> CONTRACTORS LAW 18.27 flCW AND 296200 WAC. <br /> X <br /> Signatura �atn <br /> n�� <br /> ,;�3� <br />