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APPLlCA'.`�JN FOR ELECTRICA!`�'OERMIT <br /> CIT'OF � �'1 � V l� O " 1S � <br /> everett �� <br /> BUILDING DEPARTMEN T � S E P 1 7 1 99? <br /> 259•8810 ........... ....... <br /> ........ . . . . ... <br /> �CITY OF EVERETT <br /> Public Works Dept. • <br /> Bill Bourland 8818 3rd Ave SE E ett 98208 353-8522 <br /> ner ai tltlress ty —Iip hone <br /> enant ai aaress ty ip hone335-7754 <br /> Snohomish Electric, Inc. P 0 Box 278, Snohomish, 47A 98290 SNOHOEI110PW <br /> ectriea ontractor ai aCress ty ip . hone cense <br /> Duolex <br /> antracC r�ce o 'Mor r000se� se or au� Cing <br /> 8812 3rd Ave SE Everett WA 9E208 <br /> ro�ect aGress <br /> 2 100 Amp Services @ $25 <br /> isen ption o 'Mork o e one: <br /> NOTE: M�C 296-46-100 REOUIRES TH�T PLANS FOR ELECTRICAL MORK AT E�UGITIONAL� INSTITUTIONAL OR HEdLTH URE FACILITIES <br /> BE APPROVED BY TNE STATE OF MASHINGTON. APPLIGINTS NITH SUCH JOBS MUST SHOi1 THE 5T�11E APPROVED PLANS BEFORE A <br /> CI'Y OF EVERETT PERMIT NILL BE ISSUED. <br /> NOTE: XIRINC IN NON-DNELLINCS IS REOUIRED TO BE IN CDNOUIT. <br /> I HEFEBV CERTIFY THAT I HAVE REAO AND EXAMINED THIS <br /> APPLIGATIGN AND KNOW THE SAME TO 8E TRUE ANO CGFRECT.ALl <br /> PROVISIONS OF LAWS AND OROINANCES GOVERNING THIS TYPE CF <br /> WORN WIIL BE COMPLETED WITH WHETHER SPE:IFIED HEREIN OH <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> OTHER STATE OR LOCAI lAW REGUTATING CONS i RUCTION OF THE <br /> PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHCRRED BY THE <br /> OWPIEA OF THIS PFOPERTY TO PEAFOFtA THE WORK FCF WHICH FEE $SO.OO <br /> APPUCATION IS ldADE AND 1 COMPLY WI?H THE STATE <br /> CONTRACTORS LAW iB.27 FlCW AND 2?6.200 WAC. <br /> ' � —l�o -9� <br /> Signat ce Date <br /> � ��d� <br />