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APPLICATIO� FOR ELECTRICAL PFRMlT <br /> [IN CF <br /> euerett <br /> BUILDING DEPARTMENT <br /> 259-B810 <br /> sl " l <br /> r.�,.,:., i„m�••- •n.� 713 SF. 6verett tdall WV, Ste C� Gverott ;7A 9F720F3 <br /> nel�r— Mai AdGress ity tp P�one <br /> enanc Ma� dtlress ity p none <br /> SpoF��mish CountY P.U.D. N1 P.O. ➢ox 1107 Evcrett 9820G �5p_gG37 PUD15**090DQ <br /> E�tn<Trontractor Mai EtlreSTA i�rt��p�npne License : <br /> T cr �;�, � �nf trmnorary scrvice <br /> antr.ct n ce o Work ra;eseJ setl af 9uiTing <br /> g']�ls tnrl. nr;.m cnnrbnnc� vv+rrtt WR �R�OP <br /> P�o�ect AEGrcsa <br /> "I3uilders Tem orarv Servicc" InsWllation <br /> is�cripCfon�Work a e �one: <br /> NOTE: WAC 296-46-140 REOIIIRF.S TW1T PLANS FOR ELECTRICAL NORK AT ECUGTIONAL, INSTITUiI@:dL OR HE1�TH CFR: FACILITIEi <br /> 9E APPflOVED BY THE SiATE OF WASNINGTON. APPLICAtITS WITH SUCH J065 MUST SHO'�Y THE STATE iFPROVED PLAIIS BEFOfiE A <br /> CITY OF EVEftETT PEPNIT WILL 8E ISSUED. <br /> NOTE: WIRINC IN NON-DWELLINGS IS REOUIRED TO BE IN CONOUIT. <br /> I HEREBY CERTIFV THAT I HAVE REAO AND EX4lAINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND :ORflECL ALL <br /> PfiOVIS10NS OF LAY+S AND OROINAN�ES GOVEPNIN3 THIS 7VPE OF <br /> WOFK WILL BE COtAFLETED WITH WHE7HER SPECIFIED HEREIN OR <br /> NOT.THE GRANTING OF A PERMI�OOES NOT PRESUTAE TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHcR STATE OP LCCAL lAW REGULATING CONSTRUCTION Ofl THE <br /> PERFOflM?NCE OF CONS�HUL710N.THAT I Fl.7 AUTHORIZED 6Y THE <br /> OWNEF OF THIS PAOPERTY TO PERFOfllA TNE WORK FOR WHICN FEE _�✓ <br /> APPLICATION IS IAADE AND I COMPLV WITH THE STATE - <br /> CONTRAC'URS UW 1827 FCW AND 2?6200 WAC. <br /> X����.YA n���U'�2 <br /> $ignature Oaie a�� <br /> 3� <br />