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- ' ,-_ <br /> APPLICATIvN FOR ELECTRICAI. rERMIT <br /> ciTr oF �� <br /> auiiuiHc oivisior� <br /> 3200 CEDAR STREET <br /> • EVERETT, 1fA 98201 <br /> 259-8810 <br /> ��.w�r,�p�fiB�,,� /yy/�/ dr,l�-��� E�e�a Gv9• 12'a�7 �ob 6 s��/-�3�3 <br /> er -�aiT d�s ity tate p hone <br />� enant ai d ress Yy tate ip ona <br /> r��..���.ZB/y N� /5��,,,�P.f f��..� l,i9 98'd3y S�-�y8s Secv,e,s�i36��- <br /> c ectr�ca o actor ai ress ity 3tate Tfip one tate icensa Ro:— <br /> �q�•00 '1- Tigx <br /> , ,s�;.,G �' /i`B�P <br /> ontract 'r ce o or ropose se o Sui ng <br /> sy�o a�s� ,4-v� Sw. �,G�zS; �,�ig . <br />� 'ro ect d ress � � <br />� Discription of Work To Be Done: Qi(�(,Z/l.vr, �� /��2�h —,�G., <br /> NOTE: WAC 296-46-140 REOUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> BE APPROVED BY THE STATE OF WASHINCTON. APPLICANTS WITH SUCH JO85 MUST SHOW THE STATE APPROVED PLANS BEFORE A <br /> ,CITY OF EVERETT PERM�T W�LL BE ISSUED. . � <br /> NOTE: WIRINC IN NON-DWELLINGS IS REQUIRED TO BE IN CONDUIT. <br /> � HEREBY CERTIFY TNAT I HAVE READ AND' EXAMINED THIS <br /> APPLJCATION AND IWOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF WWS AND OfiDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLETED WITH NME7HER SPECIFlED HEREIN OR <br /> NOT. THE GRANTING OF A FERMIT OQES PlOT PRESUME TO GIVE <br /> AUTHORITI' TO VIOUTE OFi CANCEL THE PROVIS�ONS OF ANY <br /> O7HER STATE OR LOCAL LAW REGUTATING CON5TpUCTION OH THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTii0filZED BY THE <br /> OWNEfl OF THIS PROPERTY TO PEPFORM THE WORK FOR WHICH � -?,�� O D <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW/827 RCW AND 296200 WAC. <br /> X �'{'S[41-�Q 1�4.�da+0� I <br /> Signat r Date ����S <br />