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M <br /> � � � �` APPLICATIG, , FOR ELECTRICAL F :�MIT <br /> � " <br /> y � N <br /> K �n <br /> 9tl <br /> ::rr cr } � <br /> � � � -'''vDING DEP.ART�tE�JT _�� <br /> q 3�9-2010 � � <br /> � Q Qf� i 4�i � <br /> � M W I <br /> H <br /> M p <br /> � H H � �._�_—HaiT Aatlrnss____"—_"__.l7Cy itV__ hone <br /> � n �( / � � c r�a �o�� ��a q ���, <br /> �7 3on 3 �1_ �— ,�Y ,P „o�� <br /> O N 1�o� Iw, U fail—A�res3 n 1 � ' <br /> N N ,`1 '1 `1 �(� ��+���� (� �' 7� <br /> O N enent / 1 ' ,�ST �b3�� ,VU YC���1'�`0� � 1 W���/ <br /> ���� N lS �d��---"` ane �Tcense e <br /> cieecr ca ontrec[ar � MatTAddress �� <br /> caR�Ut�i Sc+�ucKaV�i f��V� rn, R3. x �lu � T�� �� " -- <br /> �an[nt[ r ce or M� roposed se or ui o��q <br /> Ca�r„nPlTI-/ fl l34C� <br /> ro ect rese <br /> sc��ING— k3003�e �7c�—'S�— C�SINU �� �t)�IR�Ir � 20 <br /> ( � <br /> � I --1..7"� <br /> ���I a r � �� 1 K �- � ' <br /> f C�" <br /> � � <br /> � �__ <br /> __ <br /> NOTE: BECAPPROVED�BY 1lIEu5TATETOFT'MASFI'II1f,JpR ELn��L'�1�5 XIiHT5UCICJOBS"MUSTISSONT�tiE STATERAPPROVEGCPLANSA6E OAE A <br /> CITY OF EVERETT PEItM1T NILL OE ISSUEO. <br /> j �-1 IIOTE: 81RINC IN NON-DWF.LLINGS IS REOUIRED 10 PE IN HETAL RACE'.VAVS. <br /> 1_ I HEREBV CERTIFY THAT 1 H�VE REAO AND E%AMI�lEO THIS <br /> �� APPLICATInN ANO KNOW THE SAME TO BE TRUE AN�CORFiECT.ALL <br /> PFOVISIONS OF LAWS ANO OR�INANCES GOVEPNING THIS lYPE OF <br /> WOHK WIIL BE COMPLETEO W1TH WF1E1}1EF SPECIfIEO HEREIN OR <br /> � _ NOT, THE ORANTINO OF A PERMIT DOES NOT PHESUME 10 GiVE <br /> AUIHOFITY TO VIOLATE OFi CANCEL THE PFOVISIONS GF ANY <br /> /1� OTHER STATE OR LOCAL UW REGULAiING:.ONSTRUCT�ON Ofi THE <br /> PERFORMANCE OF CONSTRUCTION. iHAT I AM AUiHOF12ED BY THE "�, I ,�' .) ,!� �, <br /> � OWNER OF TNIS PAOPERTY TO PERFORM THE WORK FOR WHICH FEE - <br /> � ' APPLICATION IS MAOE AND I COMPLY WITH TNE STATE <br /> I _1�' CONTMC/TO�RS LAW 18.27 RCW AND 296.200 WAC. <br /> \ /O� _ <br /> X 7 �. `l.� <br /> Siqnaturn Oate <br /> �`1 `-� � . ��. ,� ' '�� [ l <br /> ' � �, <br /> ��'� �� '� � / _ (, �� , , ' � <br /> , ���, '- ' ` <br />