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1 <br /> j+�1A <br /> � , <br /> ��. <br /> x � <br /> � .A�„� <br /> �� � <br /> I <br /> , <br /> t� _ , <br /> �� r .., . . . !. <br /> � 1 <br /> Q 1 .. � . . . . . . f <br /> ,��� `� F�tRN11T <br /> � � . <br /> APPLICATIOrI FOR ELECTRICAL <br /> ��� <br /> � <br /> yx <br /> o�" ?VQY��� . <br /> ��g `UILDING DEPARTtiteNT � <br /> 'S9-8810 <br /> sH <br /> rHH • <br /> g�H <br /> CQy y w ,v� �a.��.� �'��,��,���, ��.— 9��y� � <br /> �pJ k" . na� �Nail �1d ress ty p Phana � � �. <br /> yt�l <br /> �i�'. O� . '} <br /> anant a d ress ty p ona <br /> �'�41�2/%/✓ �G�7h��C �aYG- /o30-/b�f�"S�SC� �ez-rz�9dd37 7��-O�"L �f7/lR-76=/734/d <br /> `:leetnca ntracto� aFT�areaa ty p one �canse <br /> � /SOO � S��-�7� - - — - - <br /> .ontr+et r ee o or , /� ropase se o ui ng � <br /> ��S'/S ��-�n4-�-� �G�! 2'O G�P�1LQ� �'1C�?-� � _ <br /> ro eee 7Cddress <br /> 1 xr pt on o Mor o ne: � � / <br /> � , G�G�- AL2l�.�:.P�fS /" �fi,/S ,/�-tJ �rJ .C���.i'./L� QGr�GL[/T,/!j . <br /> 7J' <br /> ���� <br /> , �'��i — <br /> � <br /> c�; . . <br /> .) • IOTE: MAC 296-ti6-140 REOUIRES TFU17 PLANS FOR ELECTRIUL NORK AT FDUGTIONAL� INSTITUTIONAI OR HEALTH CARE FACILITIES <br /> BE APPROVEG BY THE STATE OF ttASHINGTON. MPLIGNTS 111TH SUCH JO&5 MUST SHOM TNE STATE APPROVED PUWS BEPoRE A <br /> � CIiY OF EVERETT PERMIT M�LL 8E ISSUED. , <br /> � ��� qTt: MIRING IN NON-DYIELLINGS IS REOUIRE� i0 BE IN NETAL RACENAYS. � ' . <br /> I �I� <br /> � I HEHEBY CEHTIFY THAT I HAVE READ AND EXAMINED THIS � � � � <br /> .; APPUCATION AND KNOW THE SAME TO BE TRUE ANO COFiRECT.ML <br /> i PROVISIONS OF LAWS AND OROINANCES GOVERNIt<G THIS TYPE OF , <br /> � WOpK WILL BE COMPLEfED WITH WHEfHFA SPECIFlED HEAEW OR <br /> � �� NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE � , <br /> � � �t�� � AUTHORITY TO VIOLATE OH CANCEL THE PflOVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGUUTING CON5TRUCTION OH 7HE <br /> � PERFORMANCE OF CONSTAUCTIOPL THAT�AM AUTHORIZED BY 7HE [/ <br /> ' OWNER OF THIS PROPERTY TO PERFOHM THE WORK FOR WHICH FEE � /'SD <br /> �r APPLICATION IS MADE AND I COMPLY' WITH THE STATE <br /> - � � CONTAACTORS'LAW 1827 RCW AND 298200 WAC. <br /> X �� 1lLu��� ' <br /> �-�a -9v <br /> Signature � Date . �� � <br /> . . . nq°I . �' <br /> . 3���� �!, . <br /> ', . <br />