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r. <br />APPLICATION FOR ELECTRICAL PERMIT <br />259-88f0 <br />cin oF �err <br />BUIIDING DIVISION <br />3200 CFDAR STREET <br />EVERETT� IIA 98201 <br />�/ ' S i o.s G�v,�ut� D,c b o o Z 5 3 Z v/,e G ��� �a, .�v�r c.rr <br />ner ai d ress '�iYy State ip 'hone <br />D.w� o�s� J s� rrt 1!J t ��we/,�- .� u,ts t.e_�r-v— 339 — 2 Z S� <br />enant aiT �ess �it�tate ip �'�one <br />n U OLIs�]�— <br />onCract r ce o or ropose se o u�ing <br />� �—!//2 lo%v/,6 <br />F�ojeot ddress <br />Discrfptton of Work To & Done: <br />NOTE: MPC 296-46-140 REpU1RES THAT PUNS FOR ELECTRICAL WORK AT EDUCATIOt1AL� INSTITUTIONAL OR HEALTH CARE FACILITIES <br />BE APPROVED BY THE STATE OF W�SHINGTON. APPLICANTS MITH SUCH JOBS MUST SHOW THE STATE APPROVED PUNS BEFORE A <br />CITY OF EVERETT PERMIT XILL BE ISSUED. . <br />NOTE: WIRINC IN NON-DWE;.LINGS IS REpUIRED TO BE IN CONDUIT. <br />I HEREBY CERTIFY THAT I HAVE READ AND� EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TfiUE AND CORRECT. ALL <br />PROVISIONS OF UWS AND ORDINANCES GOVERNING 7HIS TYPE OF <br />WOflK WILL BE COMPLETED WRH WHE7HER SPtCIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIYE <br />AUTHORITY TO VIOlA7E OH CANCEL THE PROVISIONS OF ANY <br />OTHEfl STATE OR LOCAI LAW REGUUTING CONSTRUCTION Ofl THE <br />PERFORMANCE OF CONSTRUCTION. THA71 AM AUTHORIZED 8Y THE <br />OWNEFi OF THIS PP.OPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MAOE AND I COMPLY WITH THE STATE <br />LONTFACTORS LAW 18.2� RCW AND 296.200 WAC. <br />XG �-- •C-- �f-�-.�yo .�/o �9 4 <br />Signature Dai� <br />FEE ��__ <br />