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APPLICATION FOR ELECTRICAL PERMIT <br /> ��� cin oF Evcnerr <br /> BUIIDING DIYISION <br /> 3200 CmM STREET <br /> EVtRETT� IIA 98201 <br /> 259-8810 <br /> �� $ �96 � � �.r��t �av� �vcr��, lJ�`$�SC>3/ <br /> ner t —71Tr�eress cZT y StaLe/ p hone <br /> Tmant a �CCdresa tC�y-3tate Zfpl�'' on�— <br /> {� ��� �SY,z�.ZS�sTc�ca�.��a�� GJA '�Ss371 n,2�-1/')/ Cc�neei i3..iA <br /> �Cr��*i, o�,.n r;•, <br /> e<tr ca oniractor a a ress � �Ttm'Z�—� one tace <enaLl e 1To. <br /> � SS Sd ' /A i97r>(`LJ_� <br /> onVect r ce o or -ProposeG se o'-Eui E ng <br /> [��C? � �c��.i�,�. �,iL� ' . <br /> ro ect aCress <br /> UlscrlpNon of Mork To & Done: ? r� .`:/o2`f t � ., <br /> /N �7i�ii+�, X nr-C ��r�,���C� _ ['i7c ,i� /"eGT'�7�f <br /> 9 i�L <br /> NOTE: Xht 796-46-740 REOUIPES TMAT PUNS FOR ELECTRIGL XOPK AT EUULRTIONRL, INiTIiUTIONAL OR HEAI.TH CARE FACILITIES <br /> BE APPflOVEU RV THE STRTE OF h'ASNINGTON. APPLICANiS NITH SUCH J005 MUSi SHOX TME STATE RPPFOVED PLANS BEFORE A <br /> ,C�TY OF EVERETT PERMIT NILL BE ISSUEO. <br /> NOTE: XIflINL IN NON-DWELLINGS IS REOUIRED i0 BE IN CON�IIIT. <br /> I HEREBY CEPTIFV THAT I HAVE READ ANO'E%AMINEO THIS <br /> APPLICATION AND NNOW TME SAME TO BE TRUE�11D CORPECT.ALL <br /> PROVISIONS OF UWS AND OROINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLEiE�WITH WHEiHEF SPEpFIEO HEFEIN OR <br /> NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOUTE OR CANCEL TME PRO�ISIONS Of ANY <br /> OTHEA STATE CR IOCAL UW FEGUUITING CONSTPl1CTION OH THE <br /> PERFOflMANCE OF CONSTPUCTION.TNAT I AM AUfHORRED BY iHE �,/ �� <br /> OWNEfl OF THIS PPOPERTV TO PERFOFM THE WOflK FOR WHICH FEE �� <br /> APPLICATION IS MA�E AND I LOMPLY WITH THE STATE <br /> CONTRALTORSLAW 1B 7 PCW AN�296.200 WAC. <br /> `i <br /> X -' �, ' <br /> '�, � � / 3`�j�. <br /> gigna re Date <br /> — � � <br /> t � <br /> � ����' <br />