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�..�a�.�.�. s _ <br /> "' . -- - — ..._.. . � <br /> APPLICAT �JN FOR ELECTRICAL ,'ERMII" <br /> '-��� � �c,; cin or Ev�a�rt <br /> 6UILDINC DIVISION <br /> ' - . .................................................. 3200 CmAR STR[ET <br /> CITY OF EVERETT tveaErr, wn 9ezoi <br /> 259-8870 PuLlic �Vnrks Dept. <br /> CITY OF EVERETP, P[IBLIC WORKS DEPT. 3101 CEDAR ST EVERETT WA 98201 <br /> Owner Mail Address ity State Zip Phone <br /> SNOHOMISH RIVF.R CSO INTERCEPTOR �, .5t. <br /> INTERSECTION 0_ ECLIPSB� MILL RD., & 36TH EVERETP WA <br /> Tnant Mail Address ity tate ip Phone <br /> SEVEN SISTERS, INC. PO BOX 719 SEDRO-WOOLLEY, WA 98284 (206) 85G-Oa42 SEVEN511�9JT <br /> Electrical Contrac[or Mail Address ity tate ip I—��onc tate License No. <br /> $116,537.00 SEWER I <br /> ontract Price o Work Proposed Use of Buildin9 I <br /> V �oab-3(��= �«��..�� �,��. �dol (��J:s, a�,� <br /> P ject Address ' �—� n��'t"���+1 <br /> ()f <br /> Discription of Work To Be Done: " �� ��� <br /> HOOK UP TELEMETRY SYSTEf9 FOR THE CITY OF GVERETT. <br /> IJOTE: WAC 296-h6-140 REOUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> BE APPROVED �Y �THE STATE� OF WASHIIJGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE APPROVED PLANS BEfORE A <br /> ,CITY OF EVERETT PERMIT NILL BE ISSUED. <br /> NOTE: WIRINC IN tJON-DWELLINGS IS REpUIRED TO BE IN CONDUIT. <br /> i H�iiEti',� i:EF�iiF1' Tni,T I 1�AJc nEn'v nNu c:::,6�i1:'cD 7iiiS <br /> APPLICATION AND KNOW THE S��IAE TO BE TRUE AND COFRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING TFIIS'fYPE OF <br /> WORK WILL BE COMPLETED YlITH WHE7HER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PEFMIY DOES NOT PRESUME TO GIVE <br /> AUT;IORITY TO V�nLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW RFGUTATING CONSTRUCTION OR 7HE � <br /> PERFOFMANCE OF CONSTAUCTION. ?HAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PcRf'ORM THE WORK FOR WHICH FEE �O FEE �� ���� C�I <br /> APPLICATION IS MADE AND I COMPLY WI7H THE STATE <br /> CONTRACTORS IAW 1827 F1CW ANO 29ti.200 WAC. <br /> X �L��-"'-` lL t '�-�'��'." y/'30� %c:. <br /> Signature �ate ��— <br /> v <br /> �22�� <br />� <br />