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ApPLICATIi,�J FOR EL.ECTRICAL � .:RMIT <br /> ��� :.r,�� <br /> y evere#t <br /> ayyy y 3UILDING DEP�RTMGN7 � <br /> � �� 25d-f3810 , � <br /> , + <br /> K C�i ' <br /> H� <br /> o xo <br /> "� C�q M � <br /> �� ���� ' IL ('�Ir. �P ( _ 1'J_rC )�( [ I �.� •�� ll' ;1U3 3i � " 'il1S <br /> ''� x �— na� ae��.ss �;ny— v noo� - . <br /> � �� � <br /> O M� enant ai tldres5 Cy �p hone i <br /> n�n �' f- 1{�1,-,� icil :lly" PI1�^' l- n•,u.<:.� �1Sc i� 71t c17v Z.EI�f:(, !k Gssko 1 <br /> '�'� H� Electrita antractor ai d resl�C�� ha^-��� ��� I <br /> .�yy � IIO .i � ���� �iM.l �r�ic�r..�. ! <br /> N H onCract r ce o wor ropo5 d se o ui d ng <br /> y � <br /> H yI Q i= CGJ <br /> o t�v <br /> � �� ro ect dares. <br /> t <br /> � i <br /> y y Jis[r�pu an o Wark o e one: � <br /> i � <br /> l.t)ir� �ttw rt� �c�t.,,c , , r�n,r,c n ,:� ,., � rr.11 � i <br /> I � <br /> a z0.; AM� ser� � t <br /> - � <br /> � <br /> I ' <br /> � �1 i <br /> � � <br /> t10TE: WAC 296-46-140 REOUIRES THAT PUNS FOR ELECTFICAL WORK A� EDUGTIONAL� INSTITUTIONAL OR HEALTH CAPE FACILIilES � <br /> 8E APPROVE� OY THE S7ATE OF wASHRlCTON. APPLICANTS WITH SU:H JOBS HUST SHOM THE STRTE APPNOVED PUNS BEFORE A �.. <br /> �'"� ; CIiY OF EVERETT PERMIT MILL BE ISSUED. � <br /> � 110TE: W�RING IN NON-�WELLINGS IS REOUINEO TO DE III NETAL RACEwAYS. . <br /> i <br /> 'r... ' <br /> ' I HEREBY CEFTIFY THAT 1 HAVE REAfI AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PfiOVIS10NS OF LAWS AND OiiDINANCES GOVEFNING THIS TYPE OF <br /> ' �+ WORK WILL CE COMPLETED WITH WHETHER SPECIFIED HEPEIN OR � <br /> NOT. THE GfiPNTING OF A PERMIT DOES NOT PRESUME TO GIVE I <br /> AUTHORITV TO VIO:ATE OA CANCEL THE PROVISIONS OF ANY � � <br /> ' �'' OTHER STATE OR LOCAL LAW FEGULATING CON57RUCTION OR THE <br /> PERFOiiMANCE OF CONSTPUCTION.THAT I AM AUTHORIZED BY THE .� <br /> OWNER OF THIS PROPERN TO PERFORM THE W0f7K FOfl WHICH FEE ���� ����� <br /> APPUCATION IS MADE AND I COMPLV WITH THE STATE � <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> ; �' . <br /> � � ^ <br /> X \V � � <br /> � <br /> �„ � '��nd�. � J � 1_— <br /> Siqnatur ' Date - � <br /> I <br /> � <br />