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�� APPLICAi �JN FOR ELECTRICAL � ERMIT <br />� <br />259-8B70 <br />CITY OF EVEAETT <br />euiiniNc oivisiori <br />3200 CmM STREET <br />EVEREfT. YA 98201 <br />�c rnl ��ic� 3�7-2Sy� <br />ner � tlEress CCTy�taTel D one <br />1�< 1��, �dyr�-�r�� ���i��� �',.«:�r <br />Tnt a� d ress �Z�ty 3ta[e/� one <br />P, f.� <br />onttac[ r ce o or �ropa�Q�se a u�T�ng <br />�� I <br />�� �/��,,. �� .�� i% n.�o r„ t=1 s',w. <br />P�jec ress <br />DlscrlpNon of Nork To �e Done: C�- h• c �' -v /— �%1+-� � � ` n�� <br />NOTE: MAC T96-46-140 REqUIRES THAT PLANS FOR ELELTRIGL NOPN AT E�UC�TIONAL. INSTITUTIONFL OR HEHLTH CARE FACILITIES <br />BE �PPPOV[D BY THE STATE OF XASNINGTON. APPLIGNTS NITH SUCH JOBi HUST SHOM TME STATE APPROVED PLANS BEFOFE R <br />CITY OF EVERETT PERNIT MILL BE ISS�FD. , <br />NOTE: MIPING IN NON-DMELLINLS IS flEOUIRED 70 BE IN CONDUIT. <br />I HEREBV CERTIFV THAT I HAVE READ ANO� E%AMINED TNIS <br />APPUCAT�Ot� AN� KNOW TXE SAME TO BE TRUE AND CORPECL AlL <br />FqOVI510NS OF UWS AND OROINANCES GOVERNING 7HI5 T'PE OF <br />WORK WILL BE CO�APLETED WiTH WMETI�ER SPECIFlED NEREIN Ofl <br />NOT. THE GRANTING OF A PEFMIT DOES NOT PRESUME TO GIVE <br />AUTHORITV i0 �IOUTE OF CANCEL THE PHOVISIONS OF ANY <br />OTHER STATE OR LOCAL UW AEGUUTNG CONSTPUCT�ON ON THE <br />PEHFORMANCE OF CONSTAUCTION. THAT 1 AM AUT110HIZE� 8Y TiE <br />OwNER OF TMIS PPOPEflTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITN THE STATE <br />CONTMC S LAW 18.27 RCW AN0 296.200 WAC. <br />X � ' - �� <br />iqn�Nfe O�te <br />FEE J� <br />