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APPLICATION FOR ELE��I'�1�:�1�.�;�I�T <br />A358785 UU AUG1G ;gg3 utroFee�m,T <br />� ......... ..... euiwinc oivisioa <br />CITY OF __ 3xoo cmw srn� <br />EVERETT �' EVFxEtr, rn sexot <br />Pubiic Works Dept. <br />259•8H10 <br />IRichard Nieleon 702 Hevth'orne Everett, HA 98201 259-3311 <br />n� Ma Cros �[y tete p hone <br />IenenT—t —�a�T�O ress �--C'ly —. tato �p onl�- <br />1 115 N Valle Hv dN106, iCent. NA 98032 251-9727 BRINK NS 148 <br />�ec[r <a an[rac[or ai reas �[y tate p hone tate wmse o. LE <br />IS529.00 <br />onCnc[ r ce o ork <br />702 Hav[horne, Everet[. WA 98201 <br />�o�eoc ae�eas — <br />Oixription ol Mork io Oe Oon^: <br />hard aire <br />raposed se o u� dinq <br />Intruslon alarm <br />NOTE: M'FC 756-�G-140 REOOII7E5 THAT PlANS FOR ELCCTflIGL NOfVK Ai EDUUiIONnL, INSTITUiIONhL Ofl HEhLTH GRE FACILITIE$ <br />OE APPROVED OY THE ST�IE OF MASIIINGTON. APPLICANiS XITH SUC11 J005 MUSi SIIOM luE STA1[ APPROVEO PLANS DEFOPC A <br />CI1Y Of FVCHE77 P[RMIT MILL tlE ISSUED. <br />NOtE: NIRINf, IN NON-DMELLINLS IS REOUINED TO B[ IN CONUUI7. <br />I HEREBY GEPTIf\' T1iAT I HAVE READ ANC E%AMINE� THIS <br />APPLICATION ANO KNOW THE SM/E TO BE TRUE ANO COPRECT. A�L <br />PROwS�ONS OF Uw5 AND ORDINANCES GOVERNING TH�� 7YPE OF <br />WORK WILL BE COMPLETEO WITM WHEIMER SPECIFIEO HEREIN OR <br />NOT. TNE GPANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTNOFITV TO �IOLATE ON CANCEL THE PRGVISIONS OF ANY <br />Oh1ER STATE Oli LOCPL UW REGUUTING CONSTAUCTION OR TNE <br />PERFORMANGE OF CGNSTRUCTION. TNAT I AM AURIOR�ZED BY THE <br />OWNER OF TNIS PROPEHTY TO PEHFORM THE WONN FOF W111CH <br />APPLICATION IS M�DE AND I COMPLY WITH TNE STATE <br />CONiRACTORS LAW 18.17 PCW .�NO 296.t00 WAC. <br />! X ���n0 �/Il/l�'�� <br />Signatare oace <br />�EE $70.00 <br />u l �,93 <br />