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i <br /> HC�� <br /> D�x ' <br /> Q H <br /> 3� H V� <br /> i5y. <br /> yzH <br /> FC O <br /> '�tl�'il � <br /> �,�� APPLICATION FOR ELECTRICAL F�4iRMIT <br /> �d �, � °, <br /> o� 3 - : - -:,� <br /> ��8 � _ � , , <br /> 'n� n CITVOF � ' � ` <br /> �H� everett � C Ap� 14 ;�03 ,._� : <br /> C�~p M 059`BB�,pG DEPARTME.NT C!`Ty �p��r��ERETj'��"" <br /> -llic l'✓or,';s DaPt. <br /> n�ti <br /> � dC <br /> o� ��,iwrre;a l�n�- a�15 Pac��FicA�e c�,X� r� 9saoi a58 -a9S3 <br /> ner a ress ty p hone <br /> enant hone <br /> �Qf ,� r"S �l� ue�.J Mu.K��o 98�'15 3y8-�Sd <br /> ETecCr'�a on!ractor a ress ty p one License f EVEjQ ��[� <br /> ontraet r �e o or ropose se o u n9 <br /> i <br /> (x• <br /> ro ect ress <br /> scnption o ork o e one: <br /> L� �ol-(�r� ala�m ���.� . <br /> 1'1 <br /> 1_I <br /> 1'1 <br /> 1_I <br /> '�1 � �VOTE: MAC 296-06-1M0 RE6UIRE5 TH11T PUNS FOR ELECTRICAL MORK AT EUUCATIONAL, iNSi�TUilON6L OR NEALTN ChRE FACILITIES <br /> BE APPROVED BY THE STATE OF MASHINGTON. APPLIGNTS XITH SUCH JO85 MUST SHON THE STATE APPROVED PUNS BEFORE A <br /> ' ' CIiY OF EVERETT PERMIT NILL BE ISSUED. <br /> NOTE: MIRING IN NON-DWELLINGS IS REOUIRED TO 8E IN CONDUIi. <br /> � <br /> ! I 4EREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> 1 AF'PLICATION AND KNOW THE SAME TO BE TRUE AND COfiRECT.ALL <br /> ' PR�VISIONS OF lAWS AND ORDINANCES GOVERNING TH�S NPE OF <br /> WO,aK WILL BE COMPLETED WITH WHETHEfl SPECIFIED HEREIN OR <br /> N07. THE aRANTING OF A PERMIT OOES NOT PRESUME TO GIVE <br /> AUT110HITY TO VIOLATE Ufl CANCEL THc PROV�SIONS OF ANY <br /> OTHE.9 STATE OH LOCAL U1W REGUUTING CONSTRUCTION OR THE <br /> ''1 PERFURMANCE OF CONSTRUCTION.THAT 1 AM AUTHORIZED 8Y THE ��0 / <br /> OWNEII OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH FEE <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> � CONTRACTORS U\V 1827 RCW ANO 298.200 WAC. <br /> � ' y-�a-�3 <br /> �..��� K .�ri'�&rr�-�- <br /> Signatu-e Date <br /> r� L,2 � � <br />