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�=-- _ ._— <br /> AF�LICATION FOR ELr:CTRiCAL PERMIT <br /> c�rr oF Ev�rr <br /> BUILDINC DIVISION <br /> 3200 CEDAR STREET <br /> EVERETT, IIA 98201 <br /> 259-88f0 <br /> .�ous�K�, �r� �D �� 7�123 �,J�2azr ��Zo� 2S��,y <br /> n�ii e� a ress �ty—$tate p one • <br /> enant a ress ty tate p one <br /> SrloKoausw �cr�.c� Qo �3� Z�8 5r�o�rn W��P�I/7 �3�7��'�1 SrwNr,����,1 <br /> ectr ca ontractor e ress C�ty—�ate p one tate cense o. <br /> }� G � <br /> ontract r ce o or ropose se o u ng <br /> �2�� ��� �l�t-tt�K �-J� <br /> ro ect arosa <br /> . Diacription of Mork To Be Done: ��iW Dv�l �,� �(�> � �i"�� <br /> i �(�M M.�� prQ,� /D� A �F'2c�lC <br /> P <br /> r <br /> i <br /> NOTE: MAC 296-M6-1M0 REpUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> BE APPROVED BY THE STATE OF MASHINCTON. APPLICANTS MITH SUCH JOBS NUST SHOW TNE STATE APPROVED PLANS BEFORE A <br /> CITY OF EVERETT PERMIT MILL BE ISSUEO. , <br /> NOTE: MIRINC IN NON-DMELLINGS IS REOUIRED TO BE IN CONDUIT. <br /> 1 HEREBY CERTIFY THAT 1 HAVE READ AND' EXAMINED THIS <br /> AppUCJ1TI0N AND IQrOW THE SAME TO BE TAUE AND COFRECT.ALL <br /> pqpV13ION3 OF UWS AND OfiDINANCES GOVERNIN6 THIS TYPE OF <br /> WpRK WILL BE COMPLETED WRH VVHEiHFA SPECIFlED HEREIN OH <br /> NOT. TNE ORANTINa OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TC VIOUTE Ofi CANCEL THE PROVISIONS OF ANY � <br /> OTHER STATE OH IOCAI UW AE<3ULATINC+CONSTAUCTION OR THE <br /> PERFOfiMANCE CONSTRUCTION.THAT I AM AUi1i0RI�D BY iHE f'—�,70 <br /> OWNER OF ROPERTY TO PERFORM THE WORK FOR WHICH FEE J . <br /> APPLICA N S D AND I COMPLY WITH THE STATE <br /> TO UW E NCW AND 298.200 W . <br /> X L C `�� <br /> 5 gnature �a <br /> � <br /> �..1�%'0� <br />