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<br /> APPLICATION FOR �LECTRICAL YERNIIT
<br /> cny oF Ev�,��
<br /> r ;.� BUILDING DNISION
<br /> I� 9200 CEDAR STREET
<br />����'.i EVERETT, WA 98201 E
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<br /> Mail Address � j�'t��l =��''� —�,?S�—C: ;z3 '
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<br /> �?�� P Phone State License No.
<br />� � ' Contract price of Wo:k �� �---�
<br />'��� �' Proposeri Use of$uitding
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<br />+�*� Pro�ect Address
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<br /> ^ Dcscription of Work to Br.ilone: SECttiat
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<br /> NOTE:WAC 296-46-140 REQUIRES 'I�-TAT PLANS FOR ELECI'RiC,yi, �yOgK AT EDUCATICNAL, INSTITUTIONAL, pR
<br /> �/�-TH CARE FACILITIES BE qppqOVED BY THE STATE OF WASHINGTON. APYLICANT'S N�ITH SUCH JGBS ���
<br /> MUST SHOW THE STAT'E qppROVED PLANS BEFORE CITy OF EVERET PERMIT WILL BL ISSUED.
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<br /> NOTE:W�IN� ;N NON-DV✓ELLINGS IS I2EQUIRED TO BF_ IN N,ETALLIC RACEWAYS r �
<br /> NOT RqCEWAYS). (MC AI�'D '
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<br /> �'� I HEREBY CER?�FY THqT I HAVE READ AND EXAMINED THIS APPLICATION ANp I{NpW THL -�:.� 1 �
<br />��e� '�`D ��RREC1'. ALL PROVISIONS OF LAWS AND ORD?N.^.NCES GOVERNING THIS T'YPE Oi ',, � �,
<br /> .z;, COMPLE'I'ED WITg V✓�ETHER SPHCIFIED HEREIN OR NOT. i HE G ,.- 4�'
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<br /> 1'O GNc AUTFIORITY TO VIOLATE OR CANCEL TFIE PROVISIONRS O I qNyF THER STA�TE�OR LOCALSL..',':',' '',
<br /> i2L•GULATTNG CONSTRUCTION OR THE PERFORMqNCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY '; ;::; ' `
<br /> OiVNER OF THIS PROPL-RTY TO PLRFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COD/,pLl' P,': ,
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<br /> THE STATE CONTRACTORS L,qW 18.27 RCW AND 29G.2001VAC, �
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