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���U y , <br /> H�� <br /> ��� APP�ICATi01i'"FOR EL�CTRICAL PE�?M!T ;� ;, <br /> �y � <br /> Xo <br /> y �:ricF , <br /> ��g ��verei�. �{ Z-6 � - ID3 �( -c�6 <br /> Q� � _UILDING D[PAFT�t[4T <br /> y y� 359 8810 <br /> C� <br /> H <br /> gbl <br /> G5y <br /> lY ~ <br /> � aner Mai AGtlrrss l [y p Phone <br /> j�� ��'�t,��m� 4J C d+4i J ��P(�6c ' c�� QI2�c5� <br /> �enmit —I�ai1 aeress � ty P ho^� <br /> (�(.�i N� 3cb 3 ��,.��r� �.u�P�ZT v..�A q,���� . ,.n„ .��� .,,� .� � <br /> : ieaV ca 6ontractor He�T dresa I �Tty p ^ hone � .�A '1 <br /> ♦ � 7. RVII 1�.`Y�US. ropasnd se n��aii1g��� �A.� -l�l� I <br /> lant�ect r ce or A'ar <br /> � Zt� �1�cr� SP�e� 4c� -9�� <br /> rq ect adrass <br /> ����� �,� �c��Mr, �����Q��rr�. ,A� 0.k2�3 <br /> 7ixript an Of .10r:� o Be one: <br /> `� �ovl � J= Rx.��c�1�Z �D Ia�-lJ �611�i ( L�lQ 1� r��� . <br /> �Cj' -��� � �� <br /> ; , <br /> j C� - <br /> NOiE: 'AAC 196-46-I40 RFqUIRES THAT PLANS FOR ELECTRICAI WOflK AT EDUCATIONAL� INSTITUTIOtUL Ofl HEALTH CARE FACILITIES <br /> i BE APPROVEO BY THE STATE OF NASNIHf,i011. APPU GN75 NITH SUCH J0�5 MUST SIiU'd iHE STATE APPROVED PLANS 9EFORE A <br /> fITY OF EVERETT PERNIT 'dILL �E ISSUED. <br /> �� <br /> IIOTE: 'HIRING RI N011-OwELLR�GS IS RECUIREU �0 Of. RI MC7AL PACE'.rAYS. <br /> �� <br /> ' I HEAEBY CER7IFY TNAT I HAVE REAO A�IO E%AMINED THI:; <br /> APPI.ICATION AND KNOW TNE SA'�[TO BE TRUE ANO CORfiECL ALL <br /> PfiOV1510NS OF UWS AND ORDINA�lCES GOVERNI�lG THIS TYPE OF <br /> � �1�� WORK WILL BE COMPLETED WITH WIIEIHE�7 SPECIFIED HEREIN OR <br /> NOT. THE aP�NTING Of A PEPMI i COES NOT PRESUME TO GIVE <br /> AUTNOFII'Y TO VIULA�'S OR CANCEL THG PFiOVISIOPIS OF ANY <br /> � OTHER STATE OH LOCAL LAW �EGULA�IN6 CONSTfiUC110N OR T11E <br /> II OWNER OFNTHIS PRO ERTY TO PERFORM THE WORKIFOR WHICH FEE t I I`}^ _` <br /> I �� APPLICATION IS MA�E ANO I COMPLY WITH THE STAfE <br /> � CONiRACTOFS LAW 1011 RC�N AND 296.200 WAC. <br /> \. <br /> �X ' � , , <br /> ., � � � � , � <br /> neture � ���'t° <br /> �� <br /> 3�'� <br />