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APPLICATION FOR ELECTRICAL iNERMIT <br />� <br />259-88f0 <br />CITY OF EVEpETT <br />BUIIDINC DIVISIpI <br />3200 �U STPEEI <br />EVFIIE7T. IW 9l201 <br />enant a reaa ty ta[e p one <br />1�, / �3v-a �Y <br />I,rs,el,l+�c6%r��,e,'�,L,r� Y'L�./�cr 7J�s ,�✓,a/:.H,J7J�, l/!'1 �i.�'.Z23 L�fF,Pe14,��>> <br />ectr ca on[rector e ress ty tata ZY� on��3Cata Cicenae o. <br />onCraet r ce o or ropose se o ui E�ng <br />( r�f >� <br />�'4M ,t'J/S1J' �r�+, ,f 1�� . <br />ra ect a rnsU _ <br />OiscrlpNon of Mork To & Done: � — i» ��.� . ��'�(//jL_� <br />N�TE: MAC I96-96-140 REOUIRES THAT PUNS FOR ELECTRICAL XOFK AT EDUCATIONRL, INSTITUTIONAL OR HEALTH CANE FACIIITIES <br />BE �PPROVED BY THE STATE OF NASHINGTON. �PPLIGNTS MITH SUCH JO&5 MUST SHOM THE STFTE �PPNOVE� PUNS 9EFOflE A <br />_CITY OF EVERETT PEPNIT NILI BE �SSUEU. <br />NOTE: MIRING IN NON-DMELLINGS IS REOUIRED i0 9E IN CONDUIT. <br />I HEREBY CERTIFY THAT I HAVE PEA� AND� E%AMINED TMIS <br />APPLICATION ANO KNOW 7HE SAME TO BE TRUE AND CORRECT. ALl <br />PROVISIONS OF UWS AND ORDINANCES GOVERNING THIS T'PE OF <br />Y/OflK WILL BE COMPLEfED WITH WHEfHER SFECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PEHMIT DOES NOT PRESUME TO GIVE <br />AUTHORITV TO VIOIATE OH CANCEL THE PflOVISIONS OF ANY <br />OiHER STATE OF LOCAL UW flEGUUTING CONSTRUCTION OH THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFOflM iHE WORN FOR WXICH <br />APPIICATION IS MADE AND I COMPIY WITH TNE STATE <br />CONTMLTORS UW IB27 RCW AHD 29fi.100 WAC. <br />l <br /><� i//La1YC l (t( /l//'r . �' eJ a�� - �v <br />Signature —� Date <br />FEE 35 �(� <br />1���( % �' <br />