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APPLICAj�JN FOR ELECTRICAL �ERMIT <br /> � f.ITY Of [VEREff <br /> WILDINC DIVISION <br /> 3200 CmM STREET <br /> LVOtFR, M,� 98201 <br /> 259•BH10 <br /> �'� /hc.Crc{'f l�i���� �/,P�� /�/ l���cr-`�� <br /> ner —7--Mei Odress ty " ta[e/ i'��F�or�c <br /> enant e tl rass ty ta[e ip �one <br /> T,4�7(a� E�r+rrrc i�v�o se��lu �ti�r��l�T.i'Ol'9 .Plo 9ryy7 'TAUGO�aS9JA <br /> ETectr ca ontracror �—flai�i Aaaress �ry t�Zlp—P one tate uense o. <br /> on[ra:[ r ce a ark ropoacd se a m tl ng <br /> �,57,16 P�r�via.. /.�e lsf Il A ��Kcr%/� <br /> ro�ect �Odresa <br /> Dlacription of Nork Ta Bc Donc: f�-�in n n�v.fr M/ <br /> NOTE: MAC I96-46-140 FEOUIRES THAT PLANS FOR ELECTRIGL WOPK AT EUU[ATIONAL� INSTITUTIONAL OR NEALTH CARE i'ACIIITIES <br /> OC APPROVED BY THE STATE OF NASMINGTON. APPLIGNTS WITH SUCk{ J005 MUST SNOW THE STATE APPROVED PUNS �EFORE A <br /> CITY OF EVER(TT PEflMIT WILL BE ISSUED. , <br /> NOTE: XIRINL IN NCN-�WELLINGS IS flEOUIRED TO BE IN CONOUIT. <br /> I H'cREBY CERTIFV THAT I HAVE READ AND'EXAMINED TMIS <br /> APPLICATIGN ANO KNOW THE SAME TO 8E TflUE AND CORflECL ALL <br /> PROVISIONS OF UWS AND ORDINANCES GOVERNING TMIS 7YPE OF <br /> WOflN WILL BE COMPIETED WITN WHEIMER SPECIFlED HEFEIN OR <br /> NOL THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE �-��` <br /> AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY �(\�S;��, �� <br /> OTHER STATE OR LOCAL UW REGULATING CONSTflUCT10N OR THE _� %ai �)I � \ �- <br /> PEFFOFMANCE OF CONSTRUCTION.THAT I AM AUR'.ORIZED BV 7HE �x,; �� �� <br /> CwNEfl OF TMIS PpOPEflTY TO PEflFOHM THE WOFK FOfl WHICN FEE �' �,�;- <br /> APPLICATION IS MAOE AND I COMPLY WITH THE $TATE � �1 � � ' <br /> CONTRACTOflSLAW1827RCWAND296.200WAC. �� F�� <br /> ���� . , <br /> X�� /����''��,-1 2�s-y� � ���',�,ao°��,o �'.� <br /> Signature Ua[a <br /> � <br /> �l��Z <br />