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-- =-Y=�-- - <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> cin oF �rr <br /> BUILDINC DIVISION <br /> 3200 CEDAR STREET <br /> � 259-8810 �TT, �u se201 <br /> — r�S�u.0 l�c�P� �o B�X 7�52� � ��9ErZai 2s-�Z2/y <br /> e� a resa <br /> � ty tate p a�e <br /> � enant e resa <br /> ty tate p one <br /> Srtowc��� �c.�c.,�cue Sr�+ow�tsN- wA �lfi�lo 33,T77,I-�/ �i�lo►�o�rioA�l <br /> " ectr ca nlrao�or a ress y ta e p one ta—te L aens�� <br /> � ontract r es o r ""�ro oa��a IIne o u ny <br /> 1 322� 1�'O�tt,zot-� E�-J�. <br /> � ro ec aaress <br /> ; OiscripNan of Mork To Be Done: CO��.T ��V"� �1��. � � �I`l�{���0�l��O <br /> ' 'SeQJ�c.�E. <br /> ; -- <br /> � <br /> NOTE: MAC 296-k6-1�0 REWIRES TH11T PLANS FOR ELECTRICAL MORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH GRE fACILITIES <br /> BE APF�ROVED BY THE STATE OF MASHINCTON, APpLICANTS MITH SUCH JOBS MUST SHOM THE STATE APPROYED PUNS BEFORE A <br /> CITY OF EVERETT pEW11T MILL BE ISSUED. <br /> NOTEs MIRINC IN kON-DMELLINGS IS REQUIRED TO BE IN CONDUIT. <br /> I HEREBY CERTIFY TNAT I HAVE REAO ANC EXAMINED THIS <br /> � APPLICATION ANO IOdOW THE SAME TO 8E TRUE AND COfWECT.ALL <br /> � w+owsions oF uws�wo a+awwces oov�iria hns rr�oF <br /> � WORK WILL BE COMPIETED WITH WHETF!ER SPECiFlED HEREMI OA <br /> NOT. THE 4MNTIliQ OF A PERMIT DOES NOT PRESURIE TO ONE <br /> AUTHORITY TO VIOUTE OR CANCEL THE PROVISIONS OF ANY <br /> � 07HER STATE OR LOCILL LAW REf3UUTIN(i CON5TRUCTpN OR THE <br /> PERFOqMANCE CONSTRUCTION.THAT I AM AUTFiORIZED BY THE <br /> OMINER OF ROPERTY TO PERFOHM THE WORK FOR WHICH F� aJ <br /> '�, APPUC ON MADE ANO I COMPLY WITH THE STATE <br /> I C LAW E.27 RCW AND 298200 WAC. <br /> � y 2( <br /> natura Dat y�aoi <br />