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APPLICATIG.� FOR ELECTRICAL P�r�MIT <br /> �n1 � n � U � �s <br /> ' � D <br /> cirYoc APR 21 1q94 <br /> everett ' <br /> BUILDINO DEPARTMENT <br /> .... cirY��� EVERrrr•.. <br /> 259•8810 Public Works Dept. <br /> uk�i�krC�e�.� l �f�l `Thon.p�SonA��. Ever�- 9���5 a5a -�a7o <br /> ner �l�ddrees ty p one <br /> enant a reas y �— one <br /> Kxrar�., cw� i�c. gzz4-D�y'��,M��i���8a�53�38so �uER.�s.iaiz.�.Z <br /> E'�e��ntnclor v�-Ns{l�ddresa C y p one cense <br /> $q.{p ' _ <br /> on rac r ee o or ropose ae o u ng <br /> a�i� o4tc <br /> ro act rass <br /> 5-f�+,Gla'�+�n c?�' �re. e5 � <br /> scr pt on o or o e onet <br /> NOTE: NAC 296-M6-1h0 REpUIRES TNAT PLANS FOR ELECTRICAL MORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH G1RE FIICILITIES <br /> BE APPROVED BY THE STATE OF N115HINCTON. APPLICANTS MITH SUCH JO&5 MUST SNOX THE STATE APPROVED PLANS BEFORE A <br /> CITY OF EYERETT PERNIT MILL BE ISSUED. <br /> NOTE: MIRING IN NON-DMELLINGS IS REOUIRED TO BE IN CONDUIT. <br /> I HEREBY CERTIFY THAT I HAVE AEAD AND E7(AMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PFOVISIONS OF LAWS AND ORDINANCES GOVERNIN(3 THIS TYPE OF <br /> WORK W0.L BE COMPLETED WITH YVHETHER SPECIFIED HEREIN OR <br /> NOT. THE �HANTINO OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHOHItY TO VIOIATE OH CANCEL THE PROVISIONS OF ANV <br /> OTHER STATE OR LOCAL LAW RE6ULAT�NO CONSTRUC'f10P1 OR THE <br /> pEqFpRMANCE OF CONSTpUCTION.THAT I AM AUTHORIZED BY THE ��O ^--- <br /> OWNER OF THIS PROPERTY TO PERFORM THE WOFK FOR WHICH FEE <br /> APPLICATION IS MADE ANO I COMPLY WITH THE STATE <br /> CONTHACTORS LAW 18.27 RCW AND 2%.200 WAC. <br /> X�,��.�LG-� � �2�'u-d�e- �f�l 9/�� <br /> Sfqnature Date <br /> 5����5 <br />