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�� � APPLICA.�:�N FOR ELECTRICA= PERMIT <br /> � . <br /> everett . <br /> BUILDiNG GrPARTMENT <br /> 259-8810 <br /> • �llo rY'.f-��F-�G vlt� <br /> `i�01/lf��rJS�. �4DSp1 i✓Y�... P.4U !-�L � i.!l.f55o�� C✓LC1Z6Sr� tJ��f �p � � <br /> r ai ress ty p Iwne <br /> S.t�,f <br /> �n�nt � ress ty p Mne <br /> 8E1. TE�C 383�1- ��s7r �tvS nl.�s. �302 R�JMo,�iO �� . 9AO�L �2vbl�lsv- 99z� <br /> �eEl—tT�al ntractor ress ty p n� ense <br /> B�L T�ityc /42 NQ <br /> nCrr ct r ee o or ropose se o nq <br /> I Q�fl'IYv • � Ata�Hi�v�s i2�f i�✓6 o1=FrGofj <br /> ro �et ress <br /> � <br /> ,'�1G�/=�G � �tKSuv - 7 r� r-�-Uo�'� <br /> b�saTtio��lorkT na: <br /> � i?)J.rwi; �wiPRD���innu'r.r� - WittS r�wi �iv� ss�2�,'��/iS e�F���S Fo� <br /> � �L%UsRi i CLCS Mi✓0 L/GH-'Tin/G , � <br /> NOTE: NAC 296-�6-1�0 REWIRES'THAT PLANS FOR ELECTRIGL MORK AT EDlIG1T10NAL� INST�TUTIONAL OR HEALTH CARE FACILITIES <br /> BE APPROVED BY THE STATE OF M0.SHINCTON. 1tPPLICANTS MITH SUCH JO85 MUST SNON THE STATE I�PPROVED PW65 BEFORE A <br /> CITY OF EVERETT PEIMIIT MILL BE ISSUED. <br /> NOTE: MIRINC IN NON-DMELLINGS IS REWIRED TO BE IN META4 RACEMAYS. ' <br /> I HEREBY CERTIFY TMAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE 1AUE AND COFRECT.ALL <br /> PROVISIONS OF LAWS AND OFiDINANCES t30VERNIN6 THIS 1YPE OF � . � . <br /> NIORK WILL BE COMPIETED WITM YVHETHER SPECIFlED HEREIN OR <br /> NOT. THE (iMNTiN�OF A PERMIT DOES NOT PRESUME TO GIV[ <br /> AUtHORITY TO VIOUTE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATINC CONSTAUC710N OR TME <br /> PERFORMANCE OF CONSTRUCTION.7HAT I AM AUTHORIZED BY THF. . / p a <br /> OWNER OF THIS PROPEHTY TO PERFORM THE WORK FOR WHICH FEE y�7 <br /> APPLICATION �IS MADE AND 1 COMPLY WITH THE STATE � <br /> CONTRACTOHS LAW t827 HCW AND 296.200 WAC. <br /> X � n7 - / � - 4� <br /> Signature � Date <br /> �73y� <br />