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APPLICAT�ON FOR ELECTRICAL PERMIT <br /> � ( ciTr ov evrnt�r <br /> euiimnc orvisioN <br /> � 3200 CFDM STREET <br /> � `.�l w. . �� :1� � / EVEREff� MA 98i01 `: <br /> sss-sa�o +r 7���-C-%/c' <br /> ��43?��� �� . �tJ�1 �(�a �<r'GP `�`3I �� ��{'�'��C �N-�' �� l?c1�J�CC� <br /> � <br /> ner Ma EGress ��+ty 3tate/ZiP �yL7C/ hone I. <br /> � <br /> �Dc{.� ���r�,e e_ �3 .2 i p , ,} ��1-h �{-rez�l- c' ve vp� C��' - ,�,rn��__ <br /> enant a G ress �ty ta e p � a�� <br /> i � �, <br /> ;�„� � � nc+� r1Af,�.i..f— f-� �rrt1F �rs — J;6I <br /> Erctrl.:a ontractor e� tl jess �ty Tate p hone [ate uense o. <br /> J 1 �. <br />�,raet r ce o or roposed se a m tl�ng <br /> '�f���l� _ <� �� ��l�n'�.,� �L'l'('_. ]� <br /> ro ect Gdress <br /> Discription of Work To Be Done: <br /> NOTE: WAC 296-46-140 REOUIRES THAT PLANS FOR ELECTRI[AL WUPN Ai EOUCATIONAL� INSTITUTIONAL OR HEALTN CARE FpCILITIES <br /> BE APPROVEO BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JO85 NUST SHOW THE STATE APPROVE� PLANS BEFORE A <br /> CITY OF EVERETT PERNIT WILL BE ISSUED. . , � <br /> NOTE: WIRINC IN NON-DWELLINCS IS REOUIRED TO BE IN CON�IIIT. <br /> I HEREBY CERTIFY THAT I HAVE REAO AND'EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF UWS AND OROINANCES GOVERNING THIS T'PF OF <br /> WOFK WILL BE COMPLETEO WfTH WHETHEfl SPECIFlED HEREIN Ofl <br /> NOT.THE GRANTING OF A PERMIT�OES NOT PflESUME TO GIV'c <br /> AUTHOfl1TY TO VIOUTE OR CANCEL THE PflOVI510N5 OF ANY <br /> O1HEFl STATE OR IOCAL LAW REGUUTING CONSTRUCTION Ofl THE ��� <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE �' '1.S <br /> OWNER OF THIS PROPEflTY TO PEflFONM THE WORK FOR WHICH FEE ' Of i <br /> pPPUCATION IS MADE ANO I COMPLY WITH THE STATE i <br /> CONTRACTORj UW 1621 RC W AND 296.200 WAC. � <br /> X �9�n��ci� l'• �J�k�P��c�--.. l�—���J�� �. <br /> Signa[ure Dece <br />