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i <br /> ��� APPLICAI i0N FOR ELECTRICAL PERMIT <br /> >H <br /> p�fx citr oF tv[R[iT <br /> I a yx y 3200 CmAR'STREET <br />� �-rr 9$, EVf.R[TT, Yl1 98201 <br /> H x��+ � <br /> K n 259-8870 - ,,y, ! 1 <br />� 'i1 N�9 / � . � .�,_�._, -.) �%{� — �J�i�_ `- � <br />� fAH C "'iii �rGi`n." '/ /%l�-)���/ iI'� %'l Yi'4'iYc!JC)��4._)—.—Lc.�(-.� �i�.�j� ' G_�(�� I <br /> I � ,.�� wner �ul ddress ty ' [a[e ip 'Phone � 7.�� li <br /> i p� y� <br /> H <br /> O F+ I <br />� � �g enant ^ a dross ty tate ip one <br /> ��V � <br /> � ( ` <br /> y ~ i�'lDif-f U/ �/1.'�v'/ �CS' C'irL!C. <br /> y E�c[nc�T�ac[o�e� d�ess ty ta[c p one [a[e cen�. s�e o�. — I <br />� rHy I <br /> g `� ' - � <br />' � �y ��or_���� . �.-� <br /> r Lontract r ce o Mor �oposed�se o ui ding <br />,I �J � <br /> � oy � C .�?r.r Cr^u� y ��� ' 1/t:�f �T <br /> �ect ddress ^—� �il <br />��� Discriptlon of Work To Be Done: /„� �� - <��+ � �i <br /> II " I <br /> �—_ I <br /> �� <br /> I I <br /> � <br />� � � ___..__ I� <br /> '� � NOTE: WhC 296-4F�140 REOUIHES iHAT P11�N!i FOR ELECTRICAL WOfiN AT EDUCATIONAL� INSTITUiIONhL OR HEALTH CARE FACILITIE$ <br /> , DE APPROVtO BY THE STATE OF WASHINGTOH. APPL�CANTS WITH SUCl1 JOflS MUST SHOw THE STATE APPROVED PLANS OEFORE A <br /> r � + CITV OF EVENETT PERMIT WILL DE ISSUED. � <br />, NO1E: MIRING IN NON•DWELLINGS IS REpUIRIiD �0 �E IN CONDUIi. � <br /> !i1 <br />� I HEREBV CERiIFV THAT I HAVE fiEAO AND EXAMINED TMIS I <br /> APPLICATION AND KNOW THE SAME TO BE TPUE AND CORFECT.ALL <br />�� � ` ' PROVISIONS OF UWS AND ORDINANCES GOVEFNING THIS 7YPE CF I <br /> + WOFK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR I <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />� AUTHORITY TO VIOLATE OA CANCEL THE PROVISIONS OP ANY i <br /> ; � OTNER STATE OR IOCAL LAW REGUUTWG CONSTRUCTION OR TNE <br /> �. � PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHOAIZED BY THE �h I� <br /> OWNER OF THIS PpOPERTY TO PERFOA�.1 THE WORK FOR WHICII FEF V <br /> APPLICATION IS MAOE AND 1 COMPLY W�TH THE STATE I <br /> CONTRACTOFS LAW 18.27 RCW AND 29fi.2(W WAC. ' <br /> . � � <br /> i � � <br /> I <br /> i i° " I <br /> . X . .� � � ;� .s �� � . ��� ��_�. � <br /> t . _ ' ��____.--r— _ <br /> �SignaC. e Oat• <br /> ,� <br />