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r r� `� APPLICAT ,N FOR ELECi'RICAL ERMIT <br />ever2tt <br />:�IL�ING DE'r?.nTL�E�.`�T <br />=:��c81� <br />[)e6r� Hunter Ij09 Mcdaueall Ave. L�;verett, M'A 98701 339-9179 <br />nnv `ail aaarcss uq ��o .^.one <br />P�C <br />�enanc �v.�i AaGro U . �cY �p nane <br />FSnergency NetxorY.s 7835 �, 1BOti St.. Aent, wp 9�a3z Z51-0542 F.MERGNI 110bE <br />c�eccnca wnVactor :�a� aaress �,cy up nane 1.icrose = <br />$204.50 fiESIDENTZAL <br />wnvacc r+.ee or Nar. ropasea Use or ui mng <br />1509 McDou�all Ave. Everett, WA 98201 <br />rro�ec: Aoaress <br />I.ow Voltagc Security System residentlal custt/1;3o-Z-3 <br />i_tnoc:on u .mra io _e �ane: <br />NOTE: 'IRC 296-1'•140 SEOUIRES TNqT PUNS �Ofl EIECTRIC,IL 'NC'K AT EOUGTIONPL. INSiITUi1GNAl Oft N61LTH GFE FACILITIES <br />dE APPRO�.D BY iME STATE OF 'NASHINC70N. dPPLIf1NT5 WIiM SUC4 J085 MUSi SHO'd iHE STATE APPR9VE7 PL1N5 3EFORE d <br />CIiY OF E`:EPETT PERNIT 'AILL 9E ISSVED. <br />.`IOTE: e'IftIYC I.'!'�0'!-L'NE!L19G5 IS REOUIFE7 TO BE IN PETAL @ACEaAYS. <br />I HERE9Y CERTIFY THAT I HA�E READ a��0 EXAMINED TMIS <br />APFLICATION AND KNCW THE SAME TO 6E TRUE PND CORRECL ALL <br />FnOVISIONS CF LAWS AND ORDINANCES COVERNING THIS T'�PE OF <br />WORK WILL 8E COMPLETED WITH WMEi}1Eti SPEQFIE� MEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTMORITV TO VIOIATE OR CANCEI THE PROVISIONS OF ANV <br />OTHEB $TATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OP CONSTAUCiION. THAT I AM AUTHOF�ZE� 0Y THE <br />OWNER OF THIS PPO�ERTY TO PEPFORM THE WORK FOR WHICH <br />APPLICATION I$ MdOE AN� I COMPLY WITH THE STATE <br />CONTMCTOPS LAW 19.27 RCW AND 2%.200 WAC. <br />X �% r�. �_�9-9z <br />�« ,,�, �:� <br />Signa re Detv <br />FEE �30.00 <br />��S.S��i /� <br />