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3�5�� <br /> APPLICAT��N FOR ELECTRICAL�rERMIT <br /> � ciTr oF Evmerr <br /> euiiniNc oivisioa <br /> 3200 [FUAR STREET <br /> EVFREfT� YA 98701 <br /> 259-8810 <br /> ��6��t M�64� �s��i o i y ,�rn� l�; C����� lu� zo3 353-7197 <br /> �er Ma adrcsi T-�y-$Catc/ p �one <br /> enant a� a ress [y ;ate �p one <br /> �;.�NCv- <br /> ec[r ce oncrec[or ai ress [y tate p none tate icmne o. <br /> ontract r ce n or -Vrop�'N�I� u�9���i I 1V �"�(� <br /> srFM� <br /> ro)ect CErcsn � <br /> INscriptlon af Mork To ee oo��: Ml1vP �iU�nk�G� r� �� I �V���� <br /> o�,�S���P r,� U..�a l l -�-a �r-� s, d� �t— u,l�o.�ad � <br /> �a ti�' I �-o �7 U U �{M� <br /> NOTE. XqC 296-46-740 REOUIRES THAT PUNS FOR ELCCTRICAL XORN Ri EDUCATIONAL� INSTITUiIONAL OR kIEALTN GRE FACILITIES <br /> OE APPROVED OY THE STRTE OF NASIIINf.TON. APPLICANTS MITH SVCH JOBS MUST SHOW TME SiATE APPROVED PLRNS BEFORE � <br /> ,CI7Y OF EVERETT PERMIT MILL BE ISSUEO. <br /> NOTE: MIRING IN NON-�WELLINLS IS REO�IRED TO OE IN CONUUIT. <br /> � MEREBY CERTIFY THAT I NAVE FEAD A`. 7 'c%AMINED TMIS <br /> APPLICATION ANO KNOW THE$AME TO BE TRIL AND COflRECL A�L <br /> PROVISIONS OF LAWS ANO OROINANCES GCVE NltlG TNIS TVPE OF <br /> WORK WILL BE COMPLEfE�WITH WHEIHER il ?CIFiED HEREIN OR <br /> NOT.THE GflANTING OF A PERMIT DOES N('1 PPESUME TO GIVE <br /> AUTHOFITY TO VIOLATE Ofl CANCEL TME ' O`/ISIONS OF ANY <br /> OiHER STATE OR LOCAL UW REGUUTING C('I iTRUGTION OR 7HE <br /> PERFORNANCE OF LONSTRUCTION.THAT I AA IfTMOR12ED BY THE ��r �;C� <br /> OWNEfl OF TflIS PROPERN TO PERFOPM Tl l WORN POR WHICH FEE �,J <br /> APPLICATION IS MADE AND 1 COMPLY YITH THE STATE <br /> CONTMCTORS LAW 19.27 RCW AND 296200 WI <br /> X 'y1�C .;,,� <br /> Signacure Oate <br />