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� <br />� <br />I <br />APPLICATiON FOR ELEC���Q� I��T <br />UU OCT 2 2 1593 <br />............._...._ <br />C17Y OF EVERET <br />Public Works Dept. <br />citr oF �� <br />WIILDING DIy�SION <br />szoo cmNt srn�r <br />EYERETT� MA 98201 <br />Dvight Faulconer _ 2410 Highland �Ir�t Everett WA 9820� 339-9006 <br />•.ncr Mdil Address - <br />��Y Cate ip hone <br />__— _ _ _ _ _ . _ . —.__..—_ .-_—�---. __---__. _—___ <br />�_r.�nt Matl l�Cdrecs <br />_.._ __"....-. _' <br />� �;y .�tat,•�_� —�hanC .__"'— <br />Brinks Home Securi[� 19115 W Vallev H� IIH106 Kent WA 98032 251-9727 BRINKHS 148LE <br />�cctrical �:cncrattor Mail Addres; —�ity �ati. ip— — --Thonc -' <br />�tateZiCensc }�o--� <br />$99.00 <br />ntrnct P�icc o W� ork <br />Hard wire <br />Propo;cA Usc o( Huildinp <br />2410 Highland ��, Evere[t, WA 98201 <br />��jecC Address — ---- ---� <br />s�ription ol hbrk To Uc Donc: <br />Intrusion alarm <br />�'if.: h'6.f i5G'4G'14G FEOUIHE$ 711AT P'J�NS !JR EI.EC'R!C1,L N'Oii4'�_�—�p�,:��F710NAL, IRti71Tii1101U�L UR HEAUli CAfiE f:Cl�;�;r•. <br />GE h�PROVED CiY THL $TAIE OF HFSfI1NGTON. !Ff'I IClJ�?� N'I i!! SI�CI: ,�pqC !+,USi S!:)b' iHE STATE APPROI�FD ri.ans n��pF.i: !• <br />C�11 Gf f:1'FREti PERMIT h'ILL DE ISSUED. � - <br />':�ITC: KlFiui. �tt NpR-pµ'EI.LINGS IS FEOUIRED TO 01" 14 i.GNGPIi. <br />I hiEREBV C[RTIFV 1HAT I HAVE fiEAO AND [XAMINED TIi15 <br />APP�ICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. All. <br />PqOV1510NS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF <br />WORK WiIL BE COMPLE7ED WITH WHETHER SPEGFIED HEREIN OF <br />NOT. THE GRANTING OF A pERMIT DOES NOT PRESUME TO GIVE <br />AUTHOfi1TY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGUUTING CONSTRUCTION OR THE <br />PERFOFMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICfi <br />APPLICATION IS MADE ANO I COMPLY WITH THE STATE <br />CONTFACiORSIAW 1817 RCW AND 296.200 WAC. <br />X <br />-- 5iqnaturc--� �'—" — � <br />Uz[r '_ <br />FEF. <br />�Z��B <br />$30.00 <br />