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; APPLIC. .TION FOR �LECTRIC�� PERMIT <br /> everett <br /> BUILDING DEPARTMENT <br /> 259•8810 <br /> £�sr co�u,,. eac, Ba/ tvEi�„ae� ,Ev�/l�r- ysZoi �y ys.s. <br /> •r �ass C t�y-- P ona <br /> �C.G. �IDtX.s BtIK. BO/ LlJ67�lOP� E�I�e!E.7T '1BZD/ <br /> �n�nt a ros: �t�y-- P na Gv� <br /> �qG �.��.ocr�ts //2.8 fbR'.,�PL�S'. (� .o�rz� 9rria.� �/730 ��k�r�t�Ra <br /> ntroctar a rasa Ctty Zip ns cenae , <br /> E[ee�siuG c BGoo.oe f- i0 �?G06� —�td � <br /> z'--��oi or ropoae se o u np <br /> 1JA1N� '�S' L�JOl�E . <br /> ro ect rass <br /> _�Dtv_llot-rsh�� NVi9C �.»,o. ��vraeoGS --� J�o'r� - T is p.ea��cT' <br /> 6�� oa o or o one <br /> �s ovEc 9ole PNEuma�r-�c � <br /> �..�VK/d�R�C1i�/� ['LwTLOGS Dpi4tel/A►GS SG.t.lT— To S P .'� i.l! <br /> _fGt/�f7��A /�/D-94 <br /> NOTE: MAC 296-M6-1�0 REOUIRES THAT PLANS FOR ELECTRIGL IqRK AT mUCATIONAL, INSTITUTIONAL OR HEALTH CARE FAC�LITIE: <br /> BE APPROVED BY THE STATE OF MASHINCTON. APPL�CJViTS MITH SUCH JO&5 MUST SFIOM TFiE STATE APPROVED ?I�lNS BEFORE � <br /> CITY OF EVERETT PERMIT MILL BE ISSUED. . <br /> NOTE: MIRINC IN NON-DMELLINCS IS REpU1RED TO BE IN METAL RACEMAYS. . <br /> I HEqEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS � <br /> APPLICATION AND IWOW THE SAME TO BE TRUE AND CORRECT.AlL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF � <br /> WORK WILL BE CAMPLETED WITH WHETHER SPECIFIED HEREIN OR � <br /> NOT. THE ORANTING OF A PERMIT DOES NOT PRESUME TO 61VE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW qEGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.iHAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH FEE ��D.dO <br /> APPLICATION �IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW iB.27 RCW AND 296200 WAC. ' <br /> X o O <br /> Signature Date <br /> i <br />