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APPLICATION FOR EI.FI�'p� JIT <br /> JUl 1 G CITY or rmm <br /> BUDDING DIVISION <br /> ...........__....�._..._......� EVER CEDAR STREET98201 <br /> CITY OF EVERETT Ev1nETT, WA 9e2ot <br /> /L1,Oli 259.0810 t Public Works Dept <br /> Winer -b%86A Q7IIP<�Sa�'Elp —?, ons—J <br /> enan a rens \ 1 y a s p on�i e <br /> wCnt,�n E�Pc1c.LI. J[rYU.W11�t (aoA 2a '� �teG ee <br /> Tact % on rac or a a ress / ea�fTg1—'' / Ihone tate License o. <br /> tt �?39 ~' p ' 'U6jpq[Ol <br /> mtrae riles o war -Pro oted use or Ukll13Tn <br /> a5�0 ^+ sr StJ ACora2� <br /> -o ect Address <br /> � � / <br /> laeriptlon of Work fo Be Donef L)ilB a /10 "J, rnSJ".C.f_/ <br /> 'IOTEf MAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL INSTITUIIGNAL OR HEALTH CARE FACILITIES <br /> BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH IDBS MUIT SHOW TIE STATE APPROVED PLANS BEFORE A <br /> CITY OF EVERETT PERMIT WILL BE ISSUED. ' <br /> NOTEf WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN CONDUIT. <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT.THE CHANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT 1 AM AUTHORIZED BY THE av <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH FEE <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 ROW AND 2911.200 WAC. <br /> 1„c��� 7-�z93 <br /> jZ <br /> STgnsture L/ Dace <br /> u13�3 <br />