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, <br /> � APPLICATi�N FOR ELECTRICAL rERMI'f <br /> � CIiY OF EVEflETT <br /> WIlI11NC DIVISION <br /> 7200 C�R STREET <br /> EV[FEfT. MA 98I01 <br /> 259•8810 <br /> / � � <br /> � .Cii � !i-.:.i�..ro � !�(:' i yNGf!G J�'rG T ✓L' :� �/Jf.' <br /> ner a OCre:s [y ta[e p nane <br /> �✓/F 3.� Gi'�� <br /> enant na� eeress ty cace/Zip�hone <br /> r ' A�CI pi'� G���� i !�' �'U 1���,lat �n�i;� L /,viG.,aL / /!A=v'J_�70OJ C95���•50��/a��b <br /> ecV ca ontrac[or .ei e0ress ty' tate'Z� Phonc ta[e ttnse o. <br /> onVact r cc o Xork rapase sc o u tl ng <br /> rojecc earess <br /> DlaerlpNon of Xork To Be Oone: /p%J/•,+/- �'- /->d� T(/.C� � i�L� U� � �[.� JJ)/� /"L�-�� <br /> d�/SJOq/7t'd <br /> NOiE: XAC 296-46940 REOUIRES THAi PLANS FOR ELELTRIGL NOflK AT EDUCATIONAL� INSTITUTIONAL OR NEALTH C/.RE FACILIilES <br /> OE APPROVED tlV TNE STATE OF NASHINCTON. APPLIGNiS NITH SUCH JOBS NUST SHOW THE STATE APPROVED PLANS BEFOflE A <br /> ,CITY OF EVEflETT PERMIT WIIL BE ISSUEO. , <br /> NOTE: NIRING U NON•Dw[ILINCS IS REOIIIRED TD 2E IN CON�UIT. <br /> I HEREBY CERTIFV THAT 1 MAVE READ AND'EXAMINED THIS <br /> �PPLICAiION ANO KNOW iHE SRME TO OE TRUE ANO CORREC2 ALL <br /> PPO\'ISIONS OF lAWS AN�OHOINANCES GOVERNING TNIS TYPE OF <br /> WORK WILL BE COMPLETEO WITH WNEfHER SPECIFIEO HEREIN OR <br /> NOT.THE GRANTING OF A PEFMIT�OES NOT PRESUME TO GI\E <br /> AUTHORITY TO VIOUTE OR CANCEL THE PROVISIONS OF ANY <br /> OiHEfl STATE OR LOLAI UW FEGULATNG CONSTRUCT70N Ofl iHE <br /> PERFORMANCE OF CONSTRUCTION.iHAT I AM AUTNOP.RED BY iNE - <br /> OWNEF OF THIS PFOPERTY TO PEPFOFM THE WORK FOR WHICH FEE �� ' � <br /> APPIICATION IS MADE AN� I COMPIY WITH TME STATE <br /> CONTRACTOflS UW 1827 RCW ANO 496200 WAC. <br /> X/� / <br /> ���� _C.� <br /> Slyn'aNre Oete L <br />