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� <br /> � � <br /> i <br /> APPLICA710N FOR ELE�TRI�AL PERMIT ; <br /> , <br /> cirr or �v�enr <br /> y5 �"� OUIIDING DIVISION � <br /> C�l � <br /> 3700 CmAR STREET <br /> H EVER[TT� YA 98201 <br /> c H 259-8A10 <br /> �>xH tn <br /> /,HCZO �.��C �•,� (_. ,,•-, -� . o L�C� C�.�o���/ �:J� r . :�:. �{ �c. :-i:�" � .3-��3 `IY07 <br /> y� L----fMai�'7d`dress - i� ty tata p o�i n� —` <br /> `� y� � +�i ..� L. , <br /> H z� enanT[ --Fa�i d ress [y �tate �p one ' . <br /> � �d l/F / <br /> M �� tttr ca ontractor a ress �ty tate p cne tate tense-�- �� j <br /> L�V C� <br /> z H� %�e-6 ���'a�.� �c_ � <br /> � H antract r ce o or - r�opose s�l e��ui n13�---- i <br /> �,y r-�H ;-� � <br /> � �y rC�t 'd re s�n .�v IC_�>�� _ �. � <br /> � ��� <br /> .> <br /> y Hy Discriptlon of Xork To �e �one: t _ ��p�, �, ,. i+ c��' _l cL ( t�( c �- _ j <br /> O � <br /> _,�� I <br /> � <br /> � <br /> -- - i I <br /> � � I <br /> � � <br /> NOTE: WAC 295•46-140 RCOUIRES THAT PLANS FOR ftECTRICAL WOf!N AT E�UCATIONAL� INSTITUTIONqL OR HEALTH CARE FACILITIES � 1 <br /> BE APPflOVFD 0Y THE STATE OF WASHINGTON. �PPLICANTS XITH SUCH JOBS HUST SIiOW THE STAIE APPROVEU PLANS DEFORE A ' <br /> I� � CITY OF �iVERETT PERHIT WILI. OE ISSUED. ��, �� <br /> � NOTE: WIRING IN NON�DWELLINGS IS REOUIRED TO I3E IN CONDUIT. � �� <br /> � � � <br /> 1 HEREBY CERTIFV 1HAT I HAVE RF.AD AND EXAMINED THIS � <br /> APPLICATIO'J AND KNOW THE SAME TO BE TRUE AND COFfiECL ALL j <br /> PFOVISIONS OF I.AWS AND OROINANCES GOVERNING THIS NPE OF i � <br /> WORK WILL BE COMPLETEO WI7H WHETHER SPEGPED HEFEIN OFi i � <br /> � '� NOT. THE GRANTING OF A NEFMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOIATE OF CANCEL THE PROVISIONS OF ANV <br /> OTHER STATE OR LOCAL LAW HEGUUTING CO4STRUCTION OR THE <br /> PERFOFMANCE OF CCNSTFlUCTION.THAT I AM FUTNORIZED BY THE � <br /> -� � OWNEF OF THIS PflOPERTY TO PERFORM 1HE WORK FOH WHICH FEE � . <br /> APPLICA'�ION IS MADE ANO I COMFLY WITH THE STATE <br /> CONTRACTORS lAW 18.2�RCW AND 296.200 WAC. <br /> �~� � <br /> � X � <br /> �. y ' � <br /> -L. ,�i�i�-'<< , .-�� �� _ �, <br /> Signature 'Oate I <br /> 3q`� �0l <br />