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,.., . <br /> �� <br /> ���r� � <br /> a �i �.—Y._ _.__ <br /> ��� APPLICATII;ivl FOR ELECTRICAL E �RMIT <br /> ��� <br /> N <br /> �HC ;�vere#t <br /> �nb _UILDING DEPART�IE�T Fy$Tf�TT <br /> �.+�r; _59•8810 � / <br /> yH <br /> 'i H <br /> r(-fNH <br /> 7^�y �� � ---- ' '---�__- <br /> `•�.� Hal� AJJr.s; —��y _—��� 'I��n�/e� A 1� -��— <br /> �.rner -1 n� t—c �d A' 1-- I�II�I{' �� W(1 "1 X_�. .�,._ <br /> ��� � f\ _ f� �N � .11J(J � ��{_ ]� . /NS�1`�� �� S—�hone --.. <br /> � y a ddre�s � tY � <br /> y �sy ��(3a�� NCr 3na3 W�ST ��S� �VD �� ����.�I �i4 2U�'� <br /> ac[r es lontractar Ma ddreas <br /> o P o�-- ���,� . <br /> RiU�i Sc+�uc�tA�i r��V3�aR Q� (�3 p�ax ��lu�,�aT�o �� aK��� <br /> 6oneN r te o llor ���I ��� ^� <br /> � � � l � .� Ci Cc*tY/�C'= C0�(.�.t�l� � <br /> pro ecC areas ��- /� �+ ,, 1 `1\ �-(� �T I 1�1 �J�7 <br /> scr p��l\l •�rorx J�� Jne: d-7(L7� l.._�J �lYU �`1 ��C.V{�1� W!� �LC .LV� <br /> �Qgo�ti����ci S��R��C� i7� S�R,AIt.�� GIC� -�l ��� <br /> c � ���i �:� �l c� — �Y "� ��c� —�i ����✓� �v_�� <br /> ���,i - ''� <br /> � � <br /> C� IIOTE: MAC 396-�6-160 REOUIRES THAT PL1115 FOR ELECTRIGI MORN AT EDUCAiIOHAL� IRSIITUTIOHAI OR HEALTH CARE FACIUTIES II <br /> � BE APPFOVED BY THE STATE OF 71ASHIIIGTON. APPLIUNTS MITN SUCH JOBS MUST SHON iHE STATE APPROV[D PLANS BEFORE A <br /> CITY OF EVEflETT PERMIT NILL BE ISSUEO. I <br /> NOTE: 'XIRIHG I11 NON-DMELLIHCS IS REOUIRED TO 11E RI METAL RPCE:VAYS. �I <br /> A� ' <br /> � 1 HEHE9Y CERTIFY THAT I HAVE REAO AND EXAM�NED THIS II <br /> I �� APPLICATION AND KNOW THE SAME TO BE TFlUE AND COFRECT,ALL il <br /> PFOVI910NS OF lAW3 AND Ofi��NANCES GOVERN�NG THIS 7YPE OF <br /> WORK WILL 8E COMPLETED WITH WNETHEft SPECIFIE�FIEREIN OR <br /> NOT, THB ORANTINO OF A PERMIT DOES NOT PRESUME TO aIVE <br /> II �I�I OTFIER 51ATE Ofi LOCAL UW EGUUTINO CONSTfiUCOT ON OR iHE <br /> PERFORMANCE OF CONSTRUCTION.THAT 1 AM AUTNORI2E0 BY THE � p ( � <br /> APPLICATION'g5pMA0E A OPECOMPLV WVITOH T ERSTATE FEE ��� 7/� I � <br /> �� CONTRACTORS UW 18.27 RCW AND 296.200 WAC. <br /> � //�'i��J� ,F� ��w=1[� � <br /> Siqneturs Oete <br /> ��� S� Z <br />