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APPLICATION FOR ELECTRICAL I�ERMIT <br /> citr oF EVEnErr ' <br /> BUIIDINC DIVISION <br /> 3200 CmAR STREET <br /> . EVE1tEfT, IIA 98201 <br /> 259-8810 <br /> —/d�1� l�/l�C�f� �/�G dlS o�Lo/� ����5 N!/.t �1/llecTl,����/ <br /> �+ner ai d ress ity �tate ip ' o� <br /> N/�A � �90 3� <br /> Tenant ai ress ity�tate p one <br /> I��'��h f�D h'c.et�Gc�/(l� <br /> Electrical ontra�cto�� a ress t� tate p one ta e icense o. <br /> ��`� � Gt�•C.c��,�iVG, - S�it/G)�C ,la,�t . <br /> Lontract r ce o or ropos-P—TOse�uiTding <br /> o?Gl y � .eo ��v.,2. �r.i�z�►e �� l��/ <br /> r�oject ress � � <br /> Discription of Work To & Donr. l� � S ��/ <br /> �/-P� �� .�z� <br /> NOTE: MAC 296-46-140 REpUIRES THAT PUNS FOR ELECTRICAL WORK AT EDUCATIONAL, INST�TUTIONAL OR HEAITH GRE FACIIITIES <br /> BE APPROVED BY THE STATE OF MASHINCTON. APPLIGNTS XITH SULN JO85 MUST SHOM THE STATE APPROVED PUNS BEFORE A <br /> ,CITY OF EVERETT PERMIT WILL BE ISSUED. , � <br /> NOTE: MIRING IN NON-DWELL�NCS IS REpUIRED TO BE IN CONDUIT. ' � <br /> I HEREBY CERTIFY THAT I HAVE REAO AND' EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TFUE AND COHRECT.ALL <br /> PHOVISIONS OF UWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFlED HEREIN OR <br /> NOT. THE GfiANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOUTE OH CANCEL THE PROVISIONS Of ANY <br /> OTHER STATE OR LOCAL LAW REGUUTING CONSTRUCTION OR THE <br /> PERFOFMANCE OF CONSTFUCTION.THAT I AM AUTHORIZED 8Y THE <br /> OWNEN OF THIS PROPERTY TO PERFORM THF WORK FOR WHICH � <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS U1W 18.27 RCW AND 296200 WAC. <br /> :— <br /> " � �'� .s-��-�/_ <br /> Signature Oate <br /> ;1U ✓� � <br /> '�7 I <br />