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APPLICATIG�d FOR ELECTRICAL F �RMIT <br /> mcv <br /> avere#� <br /> iU1LDING DEPARTh1ENT ,' <br /> '.59•8810 <br /> � � �5 � i <br /> s ' <br /> a � <br /> ,P--/ � ��,Z� �9°� �,,.� s��- � ���, <br /> . � �� fl Address � ty � p Mne <br /> �nsnt ross tY <br /> v �e <br /> c • r c ntr e o� a reaa tY a on� canae <br /> � � . � <br /> �0./� / s� �S. _ 33 i� .C/J�sEii.sal— : <br /> neraet r e� o r , ropos se o �g . ' t <br /> i ��y�f- ; ; <br /> � ro aee reas = <br /> , g <br /> i a � v8' - a-�s-� �t".. „�.���� � <br /> scr pe on o or o ne ,� t� <br /> _ %�cli�%/ � /�� � GG-uu.,P. } <br /> � <br /> � <br /> - fi <br /> t <br /> . <br /> P, <br /> �l <br /> � <br /> NOTE: MAC 296-►6-140 REOUIRES THAT PLANS FOR EIECTRIGL MORK AT EDUGITIONAI, INSTITUTIOHAL OR HEALTH CARE FACIL�TIES <br /> 8E MPROVED 01f THE STATE OF MASHINCTON. App1.ICANT4 MITN SUCH J085 lfUST SFqM THE STATE IIPPROVED pW15 BEFORE A <br /> CITY OF EVERETT pQW�T tl�LL 8E ISSUED. . <br /> NOTE: IIIRINC IN NON-DIIELI,�qGS �g REpUIRED TO BE IN XETAL WICEYAYS. <br /> 1 HEHEBY CERTIFY THAT 1 HAVE READ ANO EXIMINED THIS <br /> APPLICATION AND KNOW THE 9AME TO BE TRUE AND GOfiRECT.AU. <br /> PROVISIONS OF LANf3 AND OFi01NANCES GOVERNIN3 THIS TYPE OF <br />' M�OtiK WILL BE COMPIETED WtTFi WHETHER SP ' <br /> ECIFlED HEREIN OH <br /> i NOT.THE afUNTINQ OF A PERMR DOES NOT PRESUME TO ONE <br /> AUTHOfiITY TO V�OLATE OH CANCEL THE PROVISIONS OF ANY ' <br />�� OTHER STATE Wi LOCAL LAW HEGULATINf3 CONSTRUCTION OR THE <br /> , PERFORAAANCE OF CON9TRUCTION.THAT 1 AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFOFlM THE WOHK FOR WHICH �E 35 � <br /> APPLICATION IS MADE AND I COMPLY' WITH THE STATE <br /> ' CONTRACTORS lAW ta27 RCW AND 298200 WA0. <br />'; 1 ' , . • <br />' X � 1 . <br /> � �. -8_� ��,i <br /> , <br /> !, lgnaturt • Date � <br /> ' �� <br />