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� <br /> APPLICATivN FOR �l T-R���1� ���,RMIT <br /> �� . <br /> .J <br /> ! � MAY 2 7 1994 � ciTr oF �xerr <br /> BUILDINC DIVISION <br /> .................................. 3200 CFDAR 57REET <br /> CITY OF EVERETT <br /> 259-8810 �TT, rA 9s2o� <br /> Public \1�orlcs Dept. <br /> : sco i i �_o�c z o Piru E �—��pE�-T�--�-�a � Q�zo� Zs9-ti�27 <br /> ' "�nner <br /> i a ress ty tate p ione <br /> �I °^+^t a ross <br /> LY tate P one <br /> � �ASCA[�� EL. BO QOX G'b65 Y INIa�('X�n WA Q'�D4(' a��} .� Dq Q6 <br /> i niect"r��T r a ress ty tate p one tate eense o. <br /> I � 3�r7- '� <br /> ���3. D 6 . <br /> ' Lo�trac r ce o or �ropose se o ng <br /> I J' � C2�J�Q. ' _ <br /> � ro ec roaa <br /> � II� <br /> � Diseription of Nork To Be Done: �,r/(��uG �QI� �wQs �(,( N�C E <br /> � — <br /> i <br /> I <br /> i I <br /> i <br /> NOTE: MAC 296-M6-1ti0 REpUIRES THAT PUNS FOR ELECTRICAL WORK AT EDUCATIONAI INSTITUTIONAL OR MEALTH GRE FACfLITIES <br /> i BE APPROVED BY THE STATE OF MASHINCTON, APPUGNTS MITH SUCH J085 MUST SFIOM THE SUTE APPROVED PLANS BEFORE A <br /> I ,CITY OF EVERETT PERMIT MILL BE ISSUED. <br /> i NOTE: MIRINC IN NON-DMELLINCS IS REpUIRED TO BE IN CONDUIT. <br /> ! I HEREBY CEqTIFY THAT 1 HAVE READ AND' EXAMINED THIS <br /> � APPUCATION AND IWOW TNE SAME TO BE TRUE AND CORHECT.ALL <br /> PROVISIONS OF UWS AND OHDINANCES GOVERNING TiIS TYPE OF <br /> WORK WILL BE COMPLETED WRH WHEiHER SPECIFlED HEREIN Ofi <br /> � NOT. THE OMNTINO OF A PERMIT OOES N07 PRESUME TO GIVE <br /> S AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> S OTHER STATE Ofi LOCAI lAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTAUCTIUN.THAT 1 AM AUTHORIZED BY THE � n� <br /> � OWNER OF THIS PROPERTY TO PERFOHM THE WONK FOR WHICH �E� ��� <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> !; CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> . <br /> ; X �u.� ���irlJ,• l�<�. 05. 25 4�a <br /> � Signature Daie <br /> � <br /> 4yS/ o <br />