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i ' ���Q <br /> r � <br /> ��� _ ,..-�.�p i <br /> � � ° - - -'��9_'�.`�,�'�'x`�° � <br /> y�� .�`':. .. � . `.. . ..:� -�R .a�ia�°�+ �` . - . . , -. .. _ . .... . <br /> N �` .�:. �t,`'.. � �: <br /> ��� <;� 7 , <br /> ��� APPLICATII�'� FOR ELEC�'RICAL P�iMlT <br /> ��8 � <br /> o• c: , <br /> �h-i = cin oF }} <br /> �y ` �vQr�11 r i <br /> � BUILDING DEPARTMENT <br /> �� 253-8810 I <br /> �� ` <br /> ner A Ha� dCress 1 l ty p hone ' <br /> � �0 n i fK4n�. D7�L �I6V FV(R.� ���-O� 7-+� 'nj2� <br /> en�nt � ai ddress �ty ��e <br /> r <br /> eatr ea ontractor ai a ress I ty qp one �cense ► � <br /> , �nqL...c� F� '�' ��O� Sm��h Lur2� _ lUZO� 25A=(4,°��_ ��R4��F7n99(�N <br /> �ontratt r ce o or "oiosed se a u E ng <br /> ; �16 Soo -- I- �6 lo����_s ; <br /> i ro ect eress I <br /> . Sa� - — ' <br /> .:_;� (liscrSpHon of Mork o e one: <br /> .. �' a��r°^.� <br /> , 1� � <br /> � � ! ( _� �; ��8wt� M �,ic;nh� -��-`�..L�.�a�. ' <br /> 1 <br /> : , �� — i <br /> ' . � <br /> � <br /> ��' � NOTE: NAC 296-46-140 REOUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUG�,��GNAL� IIISTITUTIONAL OR NEALTH CARE FACILITIES i <br /> BE RPPP.OV�D BY THE STATE Of WASHINGTON. APPLICANTS MITH SUCH JOBS NUST SHOtl THE STAT'c APPROVED PUNS BEFORE A <br /> CITY OF EVERETT PERNIT 4VILl BE ISSUEO. <br /> � <br /> II' I Y NOTE: MIRING IN NON-UXELLINGS IS REOUIRED TO BE IN METAL RACEWAYS. , <br />,� � �1� <br /> � i <br /> y r � <br />� + 1 HEREBY CERTIFY THAT I HAV5 REP.D AND E%AMINEO THIS ! <br /> f � APPIICATION ANO KNOW THE SAME TO 86 THUE AND COFiRECT.AlL i <br />� ' ���� PROVISIONS OF LAWS AND ORDINANCES 1iOVERNING TNIS TVPE OF I <br /> • WORK WILL BE COMPLEi EO WITH WHETHER SPECIFIED HEREIN OR <br /> � NOT. THE GFANTIN(3 OF A PERMIT DOES NOT PRESUME TO GIVE ' <br /> : � AUTHORITY TO VIOLATE Oq CANCEL THE PROVISIONS OF ANY i <br /> I � � O7HEH STATE OR LOCAI lAW REGUUTING CONSTflUCTION OR THE i <br /> ` PERFORMANCE OF CONSTflUCTION. THAT I AM AUiHOR�ZED BY THE <br /> OWNER OF THIS PROPE7N TO PEFFORM THE WORK FOR WHICH FEE _���} , <br /> " � APPLICATION IS MAf)E AND 1 COMPLY WITH TfiE STATE <br /> CONTRACTORS LAW 10.27 RCW A�D 296200 WAC. <br /> X �_ 22 - 9z <br /> 5{gnature ate <br /> ,3S 7 �o <br /> , <br />