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APFLICATI�N FOR ELECTRICAL RERMIT <br /> CITV OF <br /> everett ' <br /> BUILDING DEPAR�MENT , ' <br /> 259-8810 <br /> F�sT iNS�srA�Sc tRnNK �PeoPEKIilES f� Box 3t3� (DA��� �L. C5a3� "z2s-34`19 <br /> er .. ress ty Zlp hone <br /> BA�Y kRMM42 4�rJ o�i�E 18oz PqciF�c AUE- Ev�K�Ti (Zd�� ZSL-9813 <br /> Tnant -Fa7T7�d�drass ty p one <br /> MkAoNAuO MiuFc12 fv. 771T Al2fPbT 19VE S�V. SEM'ttE '#Pi106 �7tX)763-9YW M�K UOM C 32965 <br /> ectr ea ontractor rsas Cy p one cenae <br /> � 1600 t <br /> ontrect r ce o or ropose se o u ng <br /> I 2 <br /> ro ect raas <br /> ser pt on o or o e one: <br /> IAl3�'tcc_2NE1�.J SP�.11' HfcAi'Ra�1P5 Z— INOoo� NNIrS 3ort,�tPS Zyav I �S <br /> Z- o�.cTAuo� uNrts 4o�P5 z4o� l� <br /> To �EPL� �X�sn E+E/FT' A.1�^1P5 <br /> NOTE: MAC 296-M6-140 REOUIRES THqT PLANS fOR ELECTRICIIL MORK AT EDUCATIONAL, INSTITUTIONIIL OR NEALTH GRE FACILITIES <br /> BE APPROVED BY THE STATE OF MASHINCTON. APPLIGNTS MITH SUCH JOBS HUST SHOM THE STATE APPROVED PLANS BEFORE A <br /> CITY OF EVERETT PERMIT MILL 8E ISSUED. <br /> NOTE: NIRING IN NON-OMELLINGS IS REOUIRED TO BE IN METAL RACEMAYS. <br /> I HEREBY CERTIFY THAT I HAVE HEAD AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECL AlL <br /> PROVISIONS OF LAWS AND ORDINANCES 60VERNING THIS TYFE OF <br /> WOFK WILL BE COMPLETED NATM WNETHER SPECIFIED HEREIN OR <br /> NOT. THE 6RANTINa OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHOHITY TO VIOLA?E OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL U1W RE6ULATiNf3 CONSTAUCTION OR TME <br /> PERFORMANCE OF CONSTRUCTION•THAT I AM AUTF10FI2E0 8V TME /_ <br /> ONMEF OF THIS PROPERiY TO PERFORM THE WORK FOR WHICH FEE ,S`�' <br /> APPLICATION IS MADE ANO I CO�IPLY WITH THE 3TATE <br /> CONTMCTORS LAW IS.27 RCW AND 29E.200 WAC. <br /> X �i ��I,,.L G/z7f 9s <br /> Siyneture ate <br /> ����� <br />