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� <br />�� <br />C:N CF <br />�?ver�#� <br />APPLICA�'1C"`'� FOR <br />=UILJING OEPAFT�IE�T <br />Z59•c810 <br />Glz.dys Nelson 4322 Hoyt Ave <br />EiE�-CTRICAL �-�_�Mi7 <br />' �'� � r r�'1 �r/ .� "`� <br />�-�� � J . � �I�' �; � q <br />!I I <br />JAN 24 ?go2 !_� j <br />CITy OF EVERETT <br />Public Works Dept. <br />Everett, WA 98203 259-3304 <br />rner Maii Adtlress ,.ity cip Phone <br />�v <br />ienant � Mai Aadress ity ip hone <br />Emergency Networks 7835 S. 180th St. kent, WA 98032 251-0542 EMERGNI 110BE <br />uectnca lontractor MaiT�tld;ess Uty cip hone License r — <br />$29.50 Residential <br />oncrac: rice ot Horx - roposea Use ot u� oing — <br />932'l Hoyt Ave. Ever�tti, [VA 98203 <br />ea: naaress <br />� Low Volatge Sec. Sys, resident.ial ED7NET�1772-i-27 <br />� �i,:-ripcion ar :larx io 3e Done: <br />] <br />= — <br />;� <br />�3 — <br />� <br />i - <br />NOT"c: <br />a <br />7 <br />'NAC 296-46-140 REUUIRES THAT PLS�15 FOR ELEC'1RICAL '�90RK AT E�UCATIONAL, INSTITUTIOHAL OR HEALTH CARE FACILITIES <br />BE APPROVED BY THE STATE OF 'dASHINCiON. APPIICANTS 'NITH SUC4 JC85 YUST Sn0'd iHE SiATc' APPROVEC Pl.ANS BEFORE A <br />CITY OF E'/ERETT PERMiT WILL BE ISSJED. <br />NOTE: 'NIRING I�! NON-�7WELLINGS IS REOUIRED i0 BE IN NETAL RACElvAYS. <br />I HER'e9Y CEPT�PY THAT 1 HAVE READ AN� EXAMINED THIS <br />APPLICFTION ANU KNOW THE SAME TO BE TRUE AND CGARECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS NPE OF <br />WOflK WILL BE Cq�.1PLETE� WITH WHETHER SPECIFIED HEAEIN OR <br />NOT. THF_ GRANTING OF A PEflMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOI.F�TE OR CANCEL THE PROViSIJNS OF ANY <br />OTHER STATE OF LOC.1L. LAW REGUTATiNG CONSTRUCTION OR hiE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PqOPERTY T(1 PERFORM THE WORK FOR WHICH <br />APP�ICATION IS MAUE ANO I COMPLY WITH THE STATE <br />CONTRACTOFS LAW 10.27 RCW AND 296200 WAC. <br />X �l� � 1-23-92 <br />Signature Date � <br />FEE �30.00 <br />�.a.�...�.I- in�+„�.¢„ i/i 7 �9 r <br />(/- <br />�S 5'7� <br />