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Y� r <br /> � <br /> �� <br /> � <br /> � � <br /> � � <br /> ^'i Si._' <br /> Fr.S'` <br /> y <br /> 4:4�`�i'� �. <br /> � �,'.�1.� . <br /> �,� �" � � } <br /> :��:: <br /> � , <br /> ; � , - , _. �����:���+�:�'�����Ilt <br /> ; � <br /> a <br /> , . t <br /> , <br /> ? x` <br /> APPLICATI�V FOR ELECTRICPI �RMIT ; - <br /> , , � ` <br /> � � �� S <br /> ti� � �:�,_� <br /> everett <br /> BUIIDING DEPARTMENT , � � , <br /> �� ,. �. ' 2S9�E10 T <br /> � :" � <br /> �� z <br /> ��' s <br /> rX ''�� t • a rett tr p one . � <br /> hi�;�** F��. �eWir�ewn�r�aey 232o1k._,:.►►- �� 9�2.p1 2G9-SIDA <br /> * � �oMt r�si y I�� ooa <br /> k w� r,� <br /> fr � ` SAMV <br /> ��'"��� �e � ea n ru or ro�s t <br /> one <br /> ; � <br /> �'{" : �.ti�1' E_�+. �ee'� S..,i}l. Evr 9Q�1.o1 2��-100Z SEkNuFT�9g Q I� ' <br /> � F cne r c� o r ropo�e sa o nq ; � <br /> 4.]5 ' (� 1 � <br /> (,ZO�. 00 �1! �'o Reorn'r Ch �O <br /> ro �e n�� � <br /> �Ex�; Z.32o �e�'�� �wce�.o�st � � � <br /> a� � <br /> ser p on o rR io w uone. <br /> '=� r Prev�d� 7..oa A lc{ Se,rvi -�n �cna�-� SPa ` <br /> :i', : ` I 3 <br /> . � _ CuAnl�� 2.tiis���u C.(rrv1�L Tp (��T� <br /> ` 4�:v C�� <br /> w y <br /> ,, <br /> i; . <br /> �S � <br /> ,.. �� NpTE: MAC I96-�6-1�0 REWIRES T`UT PLANS FOR ELECTRIGL MORK AT EDUCATIONAL� INSTITUTIONAL OR NEALTN GRE FACIIIilES <br /> . . EE APPROVED eY TNE STATE OF M115HINGTON. APPLIGNTS MITH SUCH JO85 NUST SHOM THE STATE APPROVED PLANS BEFORE A <br /> CITY OF EVERETT PERMIT MILL BE ISSUED. � � <br /> ., �� NOTE: MIRING IN NON-�IIEILINGS IS REOUIREG TO BE IN NETAL RACEtlAYS. �� • <br /> �a /'�) �� <br /> � I HEREBY CERTIFY TNAT I HAVE READ AND EXAMINED 7HIS J � <br /> �. . � �; ., � APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL � <br /> t., PROVISIONB OF L�WB AND OROINANCES GOVERNRJG THIS TVPE OF <br /> WOHK WRl BE CAMPLETED WITH NMET}iER SPECIFIED HEREIN OR <br /> �� ' � NOL THE UMNTINfi OF A PERMIT DOES NOT PAESUME TO O�VE <br /> AUTHOR�TV TO VIOUTE OR CANCEL THE PROYISIONS OF ANY <br /> C� � OTHER STATE OA LOCAL UW fiEQUU1TING CONSTRUCTION OR T}iE <br /> � Y PERFORMANCE OF CONSTRl1CTI0N.THAT I AM AU?HORIZED BY THE L <br /> __ OWNER OF THIS PROPERTY TO PERFOHM THE WORK FOR WHICH FEE �J O . Q O <br /> , APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> > CONTRACTORS UW 18.27 RCW AND 296.200 WAC. <br /> F <br /> ; X o-�. . <br /> Slqneture Date <br /> I. <br /> ' I <br /> , } <br />