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APPLICAi .JM f�OR ELECTRICAL �'ERMIT <br /> :�TY�� <br /> evere#-t <br /> � BUILOIMG DEPARTi�IENT • <br /> 259•8810 <br /> / � _ I <br /> �c�i na 1�7�'n �,a�t � , r C� q�1Z�- -�175d ��4 ^ Sq�c� <br /> � � a� 1�ress 1. ty Zip�'hone <br /> � <br /> r.� nt d ress (. ty p one <br /> �i 1 S c�-f- -� — ,� <br /> � e tr ea on raeto �ai reaa ty p I one cenee <br /> �.�5�__-_�._(� C t'�P� I-f� � 1"1 I��'Y�\ <br /> Contrac�Zt�Wor �ropose se oi ui77ing <br /> z � . <br /> ro r.ct dre55 <br /> isenpt on of lYork o e one: <br /> � r p � <br /> �.rt a �/S � ' . _ <br /> , � T <br /> IIOTE: WAC 296-46-140 REOUIRES TIV1T PLAIJS FOR ELECTRICAI WORK Ai EOUCATiONAL, INSTITUTIONAL OR HEAITN CARE FACILITIES <br /> . BE APPROVF.D BY THE SiA�E 0F Wq5H111GTON. APPLICANTS WISH SUCII J005 MUST SIIOW THE STATE APPROVED PLANS BEFORE A <br /> CITY OF EVEfiETT PER111T WI:L BE ISSUED. <br /> . IIOTE: WIRIt1G R! 1l0�!-OWELLItIGS IS REOUIRED TO OE IN WETAL RACEWAYS. <br /> I HEREBV CERTIFY THAT I HAVE FlEAD ANU EXAMINED THIS <br /> APPLICATION AND KNOW THE S/��AE i O BE TFlUE AND CORI7ECT.ALL <br /> PROVISIONS OF L4W5 AND OROINANCES GOVERPIING THI5 TYPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN Ofi <br /> PIOT. THE GRANTING OF A PERMIT OOES NOT PftESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PF70VISIONS OF ANY <br /> OTI�IEfl S7ATE OR LOC�I LAW HEGUI�TING CONSiF1UCTION OR TfiE / <br /> PERFOFlMANCE OF CONSTRUCiION. THAT I AM AUTI IOFi1ZE0 BY THE � <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICIi FEE <br /> /1PPlICATION IS MADE AND I COMPLY WITfi iHE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> �, , <br /> X � � <br /> Signatur Date <br /> ���� <br />