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APPLICA.TION FOP. ELECTF�ICAL, PERNIIT <br /> CITY OF EV'eRET"[' � <br /> BUILDMG DMSION �� <br /> 32C� CEDAR STRE�T <br /> EYERETT, WA98::;1 <br /> 2ss-ssro <br /> Marqaret l9ilson 801 41st P1 Everett Wa 98201 259-1662 <br /> Owoa Mail Addre:.^. City State/Zip Phooe <br /> same as above <br /> Teoaat � Mail Addre.•.s . Ciry SLite/Zip Phone <br /> i <br /> Emergancy Networks �. 7835 5 180th St Kent [4a 98032 25I-0542 EMERGN*071MII <br /> Ele_.c � Cootcactar btail Address City ' Slate/Zin Phooe Sl.ite Liceose No. <br /> �� /` r F CjC_) <br /> r 7--� .J, - <br /> Cooeract Pnce of Work Prepo;od C'se oi 3uiJding <br /> nm aisr nr <br /> Project Address � <br /> Descriotioo oF Work eo Be Dooe: SECM SYS SFR <br /> Cust# 4327- - � <br /> _ _ <br /> -- --- ---. .�-a�r�--. .� -..-•---'----�--.—r�= _.--.,.�,�.--� �: <br /> VOI'c:�VAC '_'96-16-140 REpUIRES TFL•\T PL:1�1'S c0.', cL�.IC.-\L \'iORF: .-�T EDUC:�TIONr1L, INSTITUTZONAL, Oi �; <br /> ncALTri Cr.F� r.4CILrI"IES Bc APPROVFD �3Y T:-� STf1TE OF \V.s,SF�."�GTON. APPLIC.-�.hTS WITH SUCH JOc: <br /> t�tUST SHOW THE STATt APPROVED PL.�IJS BEr'ORE CITY OF EVEcZ�.�T ?ERhSIT �1'ILL BE ISSUED. <br /> '�; <br /> NOTE:IVIIZING IN NON-DWELLINGS IS A.�QUIRED "f0 Ec �l �tET,�LLlC R-1Cc1VAYS (MC AND AC, ARE CABLEc. <br /> NOT RACEIVAYS). <br /> . <br /> I �P.EBY C�RTIFY TFiAT I H�VE RF.:�D ,ti�`D ��:\.'�iLV=D T:-'?S :�?DL!C:ITICN AIv'D ?;,`70W THE S,�ME TO BE TRU� ' <br /> �1fYD CORRECT. ALL PROVISIONS OF L��VS kND OA�L�1,'.VC�S G���F.�YING T'rIIS TYPE OF WORK WII.L BE <br /> COMPLETED 1VITH ��i-IE� SFECI'-rLD I��Ei�! OR VOT. T:= Gf2•1NCI\G OF A PE�t�tIT DOES NOT PRES[JhfE ' <br /> . TO GIVE AUT'tIORI'CY TO VIOI_ATe DR CANCEL THE P°OVISIONS OF ;�NY OTIIER STATE OR LOC,�L. LAW ' <br /> „ <br /> REGUL,�TiNG CONSTRUCTION OR THE PERFOR.�tA,"J;'� OF CONSTFUCI'ION. TFL�T I Aht ,�UI'-:ORIZED BY 'I'FLG � <br /> 01VNER OF THI� PROPERT;' TO PE�FORtit T'r� WOR.�; FOR `.�7'.IC?-I ��PPLICATION IS MADE AND [ COAIPLY WI�I-f: <br /> iiiE STATE COI�lTRACTJRS LA1V 1S.27 RC�V AND 276.2C0 1VAC. <br /> 1 . <br /> / <br /> / <br /> Y 1����� _ ��7 � ������ � �a - �1�� ' F���.�d <br /> �-- � <br /> Sigtia[ure Dat� <br /> � <br />