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10� � 2 <br />C M <br />� H N <br />H � M <br />K y p <br />� N M <br />� � � <br />�" Rc� • <br />zH <br />N <br />� N H <br />N <br />O N <br />� �y M <br />O y <br />N <br />� .. ,. <br />� �� , <br />� � <br />APPLICATIC _ j FOR ELECTRICAL F:R�iIT <br />ITY CF <br />'V2l'��� <br />.UILDING DEPARTh1ENT <br />59-8810 � . <br />� <br />)�'�'� <br />n��1V� <br />��/ <br />l� �;�r, rv-� 7' �SI ���: <br />�i <br />cnanC Mat ddress ity 7p hone • <br />>y� :; '��-�-�,,.�/ <br />' _ l, ; l., �A },�, �-��C' 1%�"�� I< Z-. <br />1�'i.���'i'.1.;�� �,��. �`11�i c'�.��„'r._;�.�:'G_�+ �'_�> <br />: ectn ca ntractor Mai Odress ty p �a�e L feense Y <br />«?;'" rx��l . � � � <br />rice o Hor . <br />� C ���f£,+- <br />�tidress <br />L C,,7L[• �4f^R- <br />ian a fYork o e one: <br />0 <br />�� J�{�-/ �1.�\%l�%L7 (+ �- (X1 /.> Rx— ._w.-�.,. _ i � __ <br />� <br />-�� � •�� C (pKIJ <br />IOTE: MAC 296-46-1§0 REOUIRES THAT FLANS FOR ELECTRIGL NOftK AT EOUGTIONAL� INSTITUTIONAL OR HEALTH G1RE FACILtTIES <br />BE APPROVED BY THE STATE OF WASHINCTON. APPLICANTS NITH SUCN JOBS NUST SHON THE STATE APPROVED PLANS BEfOftE A <br />CITY OF EYERETT PERH17 YiILL 9E ISSUEO. <br />�IOTE: XIRIiJG IN NON-DWELLINGS IS REOUIREO TO BE IN METAL RACEWAYS. <br />I HERE@Y CEATIFY THAT I HAVE READ AND EXAAIINED THIS <br />� npi ir_.a�ON AND KN01Y THE SAME TO BE TFUE AND COflRECT. ALL <br />PqOVISIONS OF L4WS AND OflDINANCES GOVERNING THIS 7YPE OF <br />WORK WILL BE COMPLEfEO WITH WHEfHEA SPECIFIEO HEHEIN OR <br />NOT. THE GFUNTING OF A PERMIT OOES NOT PRESUME TO GIVE <br />AUTHOFITY TO VIOIATE Ofi CANCEL THE PHOV�SIONS GF ANY <br />CTHER STATE OR LOCAL LAW FEGI:LATiNG CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTflUCTION. THAT I AM AUT}iORiZED BY 7HE <br />OWNER OF THIS PROPERTY TO PEFFOFM THE WOflK FOR WHICH <br />APPLICATICN IS tAADE AND I COMPLY� WITH THE STATE <br />CONTRACTOPS LAW 1827 RCW AND 296200 WAC. <br />x � - �, <br />�,��-� L.� i,��� � ID-,�� 'i'L— <br />Signature • l, � Date <br />7/� <br />FEE � �/ -� <br />��J U J <br />