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� APPLICATION FOR ELECTRICAi, P�g1yIIT
<br /> CITY OF EVERET'i' .� � " � � � L5 D
<br /> BUILD[NG DMSION Ll L �
<br /> � ��o o c E�nx sT�r A P R 2 5 19 9 4
<br /> E���. WA 98201
<br /> CITY OF EVERETT
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<br /> � Public Works Dept. Z59-88Y0
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<br /> � C�h' State/Zip Phone
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<br /> �� Tenant
<br /> Ma�l Address
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<br /> E(atrical Coatnctor Mail Address `�� "'/ v
<br /> 1 �p�� �� City ' S�itdZip Phone State Licease No.
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<br /> , Contract Price of Wark proposed Use or Bu�d�ng
<br /> � _� � �� �lil �_��—}—
<br /> � Pro�xt qdd�ess
<br /> � Dacription of Work to Be Do��' "� � - � ' . _ _
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<br /> YOTe:WqC 296-�16-140 REOUIRES TEi��T PLAIJS FO� 'eLCT?,I�:AI, �b�pg_,z, qT EDUCATIONAI„ TNSTII'(IITONAL OR
<br /> HEAL.TH C?�RE FACILI'fIES gg qppROVED BY TF� STATE OF �'%ASE�.*IGTON. pPp[_,IC�-rg �H SUCH JOBS
<br /> ; MUS'f SHOW'� STATH APpROVED PL?NS BEFORE CITY OF EVE�T PERAi1T WIL,L BE ISSUED.
<br /> ; NOTE:Wgt(NG W NON-DWE[..I,[IJGS IS REQ(JII2ED TO BE L4 \tET,�LLIC RACEWAYS (iv(C AND AC, A� C.aBi.ES,
<br /> � NOT RACEWAYS).
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<br /> I �REBY CERTIFY TFiAT I HAVE RE,�D ,�ND E�(.,�,�tL•YED T:-T_TS :L�PL?C:ITION AND KNOW 'fHE SAME TO BE TRUE
<br /> : .�J`!D COR�REC'I', q(y pROVISfONS OF LAWS ATlD ORDIN,�:VC�S GOV=?,,�NG THIS Typg OF WORK WII,L BE
<br /> i COMPl..E�Ep �yI-pF; ��R gpECffIED f-I'tRE�*! OR VOT. T::c GRAN'IL�iG OF A PERMIT DOES NOT PRESUME•
<br /> . TO GIVp AUTHORI'iY TO VIOLA'I'E OR CANCEL TH� PROVJSiONS OF ANY OTHER STATE OR LOCAL LAW •
<br /> REGULA'I7NG CONSTRUCI70N OR THE PERFORl.tANCE OF CONSTRUCI70N. THAT I AM AiJ'IZ-(pgIZED BY TFIE
<br /> , ��'NER �F 'rHI� PROPERT'T TO PERFOR,�t TFIE 14'pRt FOR `.1"1?]CH APPLICAI70N IS MADE AND I COhtPLY WI'I'F:
<br /> TfiE STAI'E CONTRqCI'ORS LAW 18,27 RCW ,�,I•ID 296.2C0 1VAC.
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<br /> S�gnature ;' . _.
<br /> _ • , Date
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