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� i :, <br /> , <br /> ,, j . � <br /> r <br /> � <br /> � <br /> ��� <br /> � q ,� APPLlCA71��! FUR ELE�'TRlCAl�ERiV9lT � <br /> � �� <br /> � i <br /> �� � `' <br /> =;�{�� <br /> � �ver��tt � <br /> 4 �UILDING DEPAFT�b1E�1T � �, <br /> _59-2810 <br /> �� � <br /> �p PeciC> 02. G4ZU3 Lq - G3�t4- I <br /> p. l�uannc �I�I.so�n to2� � EV�GTT <br /> _� nner Mail Aatlress �ty ip Phone <br /> E� <br /> � �enan[ Nai Atlares. li[y ip none . <br /> ��j Entt� ic S . -183 5. I O'-� ST Ktoi qB0>2 �I-054Z ENERGNr /i0l3c <br /> ciecc ca ontractor Mai Atltlress u ty cip none License : <br /> �� �330. 5CJ REs�dcn-f-,�iD <br /> �oncract rice or WorR roposea Use or ui aing <br /> .. .__Y_ (o Z( f e c�S Ae• VercrT u�ra A�2CJ <br /> ra�ec: AaCress <br /> iscnpcion or ��rorz io :e Done• � , <br /> Law V 1�9E S'E�. S5. kts,d�,�..�� <br /> � �,sT r� .5i9 - 3—�/ <br /> (C�� <br /> I ' I <br /> �1 � <br /> I NOi'c: 'BAC 296-L6-740 ftECUIRES iHAT PU�IS FOR ELECTRIGL e'ORK AT EOUGiTIONAL� It1571TUTI0NAL OR HFi�ITH GftE FACILITIES <br /> I � BE PPPROVED BY iHE S7ATE OF AASHINGiON. APPLICndTS 'd17H SUCN JO85 NU57 Sfi0'd iHE STATE APPROVED PL1N5 BEFORE A <br /> ' UTY OF E�/E�E7T PE`24IT '�IILL BE ISSUED. <br /> � NOTE: 'NIRING It! NON-D'NELLItlGS IS RE9UIRED TO BE IN MEiAL RACEl9AY5. <br /> , � ,_� <br /> L�� <br /> 1_ ' i HERE9Y CEFTIFY THAT I HAVE READ AND EXAMINEO THIS I : <br /> _ APPLICATION AND KNOW THE SAIAE TO BE TRUE AND CORAECT.ALL <br /> � PROVISIONS OF LAWS AND OFDINANCES GOVEaNING THIS NPE OF , '' <br /> WOqK WILL BE COMPLETED WITH WHEirIER S?ECIFIED HEREIN OR �, .. � , i � <br /> NOL THE GRANTING OF A PERMIT DOES NOT PRESUh1E TO GIVE '. j;. �t ;����C <br /> AUTHOFITY TO V�OLATE OF CANCEL THE PROVISIONS OF ANY "-� . 1- � � <br /> � �1=1 OTFIEfi STATE OR LOCAL LAW REGULA7ING CONSTRUCTION OF THE �� '�� `J � _ <br /> i <br /> PERfORM.ANCE OF CONSTRUCTION.THAT 1 AM AUTHORI2E0 BY THE n � li � ''w- 'a. <br /> �I OWNEP OF THIS PROPERTY TO PEAFOFM THE WOFiK FOfl WHICH FE'c c�U � ';''R�rJ '� <br /> APPLICATION IS MAOE AND I COMPLY WITH THE STATE I, - ,�+�''�`"�' � <br /> � :�- p-�_,i�� <br /> CONTRACTOFS LAW 1B.27 RCW AND 2%200 WAC. •* '� '�"� <br /> ` n- <br /> �� � � � �an� �� �� • � -=� � <br /> X � �/.�.�. 3 � �z �, . <br /> Si aeure ate MAR 1 1 �gg� <br /> ....... . � '", '' ;. ` � <br /> CITY OF EVERETT I <br /> Public \Norks Dept. • <br /> ;3 S"�3 Y <br /> � <br /> � � � <br />