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APPLICATI�,�V FOR ELECTRfCAL � :RMIT <br />c�n oF <br />£VQr��� <br />BUILDI�IG DEPARTMENT <br />259-8810 <br />���`�<,\ ;'� <br />/��'� i.���� <br />�JG��� ,�G(" L,/�' � � _ �� <br />� r ;�t�c .. <br />/ <br />'��fv� �� � c,'��D In <br />��1.��� <br />.,.. 1`�lticl�� D�C � n� � ���, �A:i5-I��r. <br />L� � Oc, <br />�0'�-J ' <br />q g o•t .. <br />�1-C ��1(.:OI �vr•ctrrt•r,lti�dl [��: �4{ �16Tt.� <br />enan[ tai ddreu l.ity �p hone <br />1 i�k\� ic\er\��r. � �r� d'ndioA Ir���' �.� �.�rrr� CI.?i��J(.• �!r,l �'.i�1!. ?)35'_ ,il'1r.r�?-Dj! 7lFi <br />c ectn ca 6ontractor Hai ddress L ty p�hone iconse 7 <br />� S o�UU �� <br />ontract nce ot Wor roposed se ot ui d�n9 <br />1-1��-C �i i" ��c,_;Ce�cit ��'1a�-P `a1;01 �v<roY�-� �o�����1 �ve�r�4��1 1,v�� �fb'I-o� <br />ro��ct Atldress <br />r-_ :z <br />u15CftpctOn u� nv��w �o uc ..vuc. <br />..; llJa���.1� �.�1\�1rC'�1U�\�. <br />t10TE: WAC 296-46-140 REOUIRES THAT PLANS FOR ELECTRICAL KORK AT EDUCATIONAL, INSTITUTIONAL OR tiEALTH CARE FACILITIES <br />�E APPROVED (3Y THE STiVE OF NASHINGiON. APPLIGINTS WITH SUCH J005 t1U5T SIIOW THE STATE APPROVED PLANS �EFORE �1 <br />CITY OF EVERETT PER11�T WIIL 0E ISSUED. <br />tIUTE: WIR117G 117 tION-OWELLItJCS i5 REOU�RED TO �E R7 FIETAL RACEWAYS. <br />I HEFlEBY CERTIFY THAT I HAVE FlEAD AND EhAh11NED THIS <br />APPLICATION AN� KNOW THE SAIdE TO B[ TRUfl AND CORRECL ALL <br />PROVISIONS OP LAWS AND ORDINANCES GOVERNING TNIS TYPE OF <br />WORK WILL BE CCMPLETED WITH WHGTHER SPECIFIC•D HEFEIN OR <br />NUT. THE GAANTING OF A P[Rf.71T DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVi510NS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERPORMANCE OF CONSTRUCTION. TfiAT I AM AUTHOFlIZED BY THE <br />OWMER OF THIS PROPERTY TO PERFORM THE WORK FOR SVHICH <br />APPLICATION IS MADE AND I COMPLY WITII THE STATE <br />CONTflACTORS LAW 10.27 FCW AND 296.200 WAC. <br />I� , q <br />X �; � �( u"-- ��� �� c%`/�/.3 <br />Signatura � Oate <br />ri� <br />FEE '� �I� > " <br />iLq��l/ <br />% <br />