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--�----� <br /> � <br /> APPLICATION FOR ELECTRIC;AL Ptr�MIT <br /> r�vere#t <br /> UILDING DEPARTMENT • <br /> 59•8810 <br /> -Nner Mai AdGress ty p Phone <br /> �F�,��,r�G' /fi.,�i� 1C�l�o/�{ fd 9�>ei �S'S= �7�5 <br /> onant �at dd�ress l ty P ione <br /> � , i � � / i / <br /> � ectr ca antractor ai d ress ty p hone cense <br /> ��i"f1`�""c''�1�"��' f�puse��o��,�y�" /i/�F.C� <br /> untract r ce o Mor p <br /> �J�` �� �!����,. �i.vrE+�`f /ii�4l.(/ /�Z// <br /> 'ro eCt Ed�eSJ! 5 / <br /> � � <br /> �/L ��y- I- /�� <br /> �i��s�'pEion ot Aork o e one: <br /> '70iE: NAC 296-46-140 REOUIRES THAT PLANS FOR ELECTRICAL WORK �T EUUCAiIONAL� INSTITIJTIONAL OR HEALTH CARE FACILITIES <br /> BE APPROVED BY THE STATE OF WRSHINCTON. APPLICANTS XITIi SUCIi JOBS MUST SHON iHE SiATE APPROVEU PLANS BEFORE A <br /> CITY OF FVERETT PERMIT MILL BE ISSUED. <br /> 'iOTE: MIRINC IN NON-OMELLINGS IS REOUIREO TO OE IN 11ETAL RACEwpYS. � <br /> 1 HEREBV CERTIFY THAT I HAVE READ AND E%AMINE� THIS <br /> � �1 � <br /> APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS NPE OF . <br /> WORK WILL BE COMPLETED WITH WHETHEti SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORI7Y TO VIOLATE OR CANCEL THE PFOVISIONS OF ANY <br /> OTHER STATE OR LOCAL U1W HEGULATING CONSTf1UCTION OR TF1E <br /> PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHOF7IZED BY THE ��/J i(� <br /> OWNEfi OF THIS PNOPERTY TO PEf7FORM THE WORK FOR WHICH FEE J G � J <br /> APPLICATION IS MADE AND I COMPIY WITH THE STATE <br /> CON?RACTORS LA 1027 RCW AN�296.200 WAC. <br /> X _ �_ <br /> Si ture �ate <br />