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. . ._ _._�. ... .. . . ..{ ___'_'"".. ...._.. _'"'_ ...__"....� .._ . ..—_ ...""'_._._ ._ ..___.. . _ . <br /> :� <br /> r <br /> APPLICATI01� FOR ELECTRICAL PEtcMIT <br /> :m cF <br /> evere#t <br /> BUILDING DEPARTtv1ENT � <br /> 259�0810 . <br /> �it�ry /�� d'l" �?�c:Y� .£��C/ �f� G'Y"L!/'r T7 <br /> nner Nai adress CY P hone <br /> enanc a a ress CY P ane <br /> 7r v .c�-> i'c��'y�</333 .-z��. %�t��/313 �3-%�3 7r/c�.vc�//o.u/L <br /> c eccr <a ontractor —Fil7Cd"dress � t�—��p—P�one �cena� <br /> �h .�a1.G� <br /> �on[ract r cc o nor 1 , ropoam se a u� n9 <br /> .�/ �r �/�L�.�:C�l-i3�✓ �!/��/ <br /> ro c[ ear�.s <br /> isenpnan o Work o e one: / � <br /> N�Y/X-L Y.U��'1 3'� �F �.U'/C�T�itiJ�GG Y �.C.C.U/J�i'��O/3— — <br /> h%l�u. .a- JS— <br /> t1UTE: MAC 196-46-14G REOUIRiS TfIFT PLANS FOR ELECTRICAL MORK AT EDUCATIOYAI� IIISTIIUTIONFL OP HERITH CARE FACILITIES <br /> BE APPf10VEU BV Tf1E STATE OF NASIIItIGTON. APPLICAlITS XITII SUCII J005 MUST SIIOM TIIE STATE APPftOVEO PLPIIS BEFOFE A <br /> CITY OF EVENETT PERHIT WILI DE ISSUED. <br /> IIOTE: rilflltlG Iil N011-OWELLIIICS IS flEUUIflED TO OE Itl NET,1L flACEWAYS. <br /> I HEflEOV CERTIFV THAT I HAVE REAU AND E%Ah11NED TI{�S � <br /> APPLICATION AND NNOW THE SAIAE TO BE TRUE AND CORRECL ALL I 3� <br /> PFOVISIONS OF LAWS AND ORDINANCES GOVERNING THIS NPE OF <br /> WORK WILL BE C�IAPLETEO WITH WfIETHER SPECIFIED HEREIN OR <br /> HOT.THE GflRNTING OF A PEflMIT DOES NOT Pf1E5UME TO GIVE <br /> AUTIIORITY TO VIOLATE OR CRNCEL THE PROVISIONS OF ANY <br /> OTHL-R STATE OR LOCAL LAW F7EGULATIKG CONSiRUCTION Cfl TNE <br /> PERI'OF67ANCE OF CONSTflUCTION.THAT I AM AUTIIORIZED BY TNE � l <br /> OWNER OF THIS PflOPERN'f0 PERFORM THE WORK FOR WHICH FEE =� <br /> APALICA�ION IS MAUE ANO I COMPLY WITIi THE STATE <br /> CONTRACTCRS LAW 1027 RCW AND 29fi200 YlAC. <br /> X C �!%7l/( /�G.—� 7 �i �� <br /> Signa[ure Oa[e <br />