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APPLICATION FOR I.LECTRICAI,PCItDqIT <br /> �m ofi evsrsrr <br /> BUILDI4G bIVISION � <br /> 3z00 CLDAR STREET <br /> EVERp77.WA 98201 <br /> 259-8870 <br /> ( 'lnQl�p �} �A61fZ1�2�V� 1 <br /> Ouvcr Mail Addrus tJ�����I �/�f�� �q ZJ� <br /> Cit � <br /> Y StatU2ip � — <br /> s�.,� z 5z 3�P ° <br /> Tenuit Meil qddress <br /> City Slnie/Zip <br /> S��� Phone <br /> Elatncal Conlnctor <br /> Mail AJdress Cil <br /> Y Slale/Zip Phone <br /> SGIe License No. <br /> ConlnetPnceofWork - J�J'�� ��/q � ����� <br /> ProposW Useo(Duildinb <br /> SZa' Sr'aHunrT <br /> Projal Addrrsa ED`r�'� <br /> Descdption uf Wo�k la De Done:_�CJI/.�Gl��2 ' <br /> C � � �j]uY C °n —F <br /> /lr� <br /> NOTE:Wq�Zg6-06•140 REQUIRLS 77�q7 PLANS FOR ELECTRI�qL WQ�A.�.=�UCATIONqL,INSTITUTIO,�'AL OA <br /> �{E�TH �ARE FACILITfES DE nPPAOVED BY THE STATE OF WASFiINGTON. MPLICANTS Wt77i SUCH lOIIS <br /> ML'ST SHOq'7'y�57Ait qppROVED PLANS BEFORE CITV OF EVERET PERMIT R7LL HE 15SUED. <br /> NOTGc WfRING IN NON-DK'ELLiNGS IS REQUIRED TO BE IN MLTqLLIC RACEWqYS(MC AND AC, <br /> NOT RpCEWAYS). <br /> NtE CA�LF:S, <br /> I HEkG9Y CLRTIFY THAT 1 HAVE READ qND EXAMINED TF{�g pppUCA.j.�pN�,D KNOW THG SMqE TJ 8E TRUL <br /> AND CORREC(', qLL PROVISIONS OF LAWS AND ORD(NqNCES GOVL}W�NG T}fI5 TYPG 01' Wp <br /> ��MPLLTED WI77{�g�ER SPECIFIED HGREM OR NOT. THE GRANT�NG OF q PER1.fIT DOES NOT PRESUME <br /> T� ����E AUTHORITY TO VIOLATE OR CANCHL � ��� B� <br /> REGULATING CONSTRUCTION OR THE VERFORMANCE OF COK TRUOF <br /> aN'NHR OF Ty�S PROPLRTY i0 pERFORM TIiE Wp(�pOR R7{ICH AP�q770N IS MpDE ANDiIo v1,qp�µT E <br /> THE STAi'E CON7RACTORS Lq W 1817 RCW AND 296100 WAC. <br /> a �� � <br /> ;� : <br /> Signature � /j �J3 '. _ <br /> Pee d: <br /> � D a ��_ <br /> �. 7.�� <br /> — —_------- ��«•nrOrs�zi� <br />