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-��(l^1 �1 <br />APPLICATlON FOR ELFCTRIC�4L PERMIT <br />�IiY Of <br />everetfi <br />BUILDING DEPARTMENT <br />259•8810 <br />� �� �� ln� .,�'.! <br />OCT 2 7 1995 � <br />CITY OF EVEf�ETT <br />Public Works Dept. <br />E�SP w�.RfivaTor� Ssll S. yT� 4vc EU/ � S2- 4351 <br />n�i e� �t reat ty p hon• , <br />SAMc _ _ <br />'enent • raaa ty Z�p �ono <br />w ciQse V.O.f3ox2424L . Se,� w.a 4912���t�-b460 Dw�uo-�o` i�L� �goS <br />eetr ce ntr�ctor re+� cy p <br />:�`6�O.Q0 ' <br />ont �ct r w o or t7-- . � ropap ae o u np <br />�� I'I �, y� Avt • ' • - ' � . <br />ro �cc r�u <br />■i <br />�' <br />NOTE: IfAC 296-16-110 REpUIRES TFU1T PIANS FOR ELECTRICAI 1fOfiK AT EDUGtTIOtLII, INSTITUTIONAL OR HFALTH CARE FACILITIE: <br />BE APPROYFD BY TNE STATE OF YASHINGTON. APPLICANTS MITH SUCH JOBS NUSi SIiON THE STAiE APPROVED PLANS BEFORE / <br />CITY OF EYFJiE7T PERMIi MILL BE ISSUED. • <br />NOTE, xIRIHC IN NON-DYELLINCS IS REOUIRED TO BE IN METAI:•RACENAYS. <br />I HERE9Y CERTIFY THAT t HAVE READ ANO EXAMINED THIS <br />APPLICATION AND 1WOW ?HE SAWE TO BE TRUE MlD CORRECT. ALl <br />PFIOVISIONS OF LAWS i�ND JHOINMICES GOVERNINf1 THIS TYPE OF <br />WORK WILL BE COMFLET[D WITH WMEMER SPECIFlED HEREW OR <br />NOT. THE GFiANT1NU OF A PERMfT DOES N07 PRESUME TO ONE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW HEGUUTWfi CONS7AUCT10N OR 7HE <br />PERFORMANCE OF CONS7AUCT10N. THAT I AM AUiHOR2ED BY TTfE <br />OWNER OF THIS PROPERTY 1'7 PERFOfiM THE WORK FOR WHICH <br />APPIICATION •IS MADE AND l COMPLY WITM THE STATE <br />CONTRACTORS UW 10.27 RCW AND 296200 WAC. <br />X /7��— <br />Sfqnature • D�t� <br />�� • 1`�� / � <br />/ <br />FEE � �S,OO <br />