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�\�. . ......�a` <br /> 4 <br /> �'�twY.1' , <br /> ' <br /> � <br /> �Y� ` /4�`1 f"� <br /> ��� � � APPLIC�►TIUi. FOR ELECTRICAL l�tRMIT <br /> ��� <br /> ��� �vere#� <br /> ��� :UIIDING DEPARTi�tENT • <br /> 59-8810 <br /> I=�A - — - _ _ <br /> O• <br /> �y . <br /> �'1,e �/,�ti4 l.�� <br /> f{ �ne�� Mat 1 ntlaress ty t�p none ��iav�7_/�S . <br /> u �i i � <br /> u /Yl.�?�ee . 6Yi2 �.nr�ss s� � h� /..a �ik'r2oZ <br /> � enant dtlre� 5� itY �P ho°` , <br /> �� -- ectn ca ontractar Mai OOress ity �p hone �cense > ��� <br /> f� <br /> ` -'• /��io.-� Tr �Q �*r5'Sd2 lR+.r.o LC(4 1�/QT 10,27-232.� __LZ�F[22 Q1�(��.$' _ I <br /> �ntratc rice o wor —�ropose� Use o u� Oing <br /> O� � 'Sr� '. <br /> O <br /> 'r0)ect AtlEress �� <br /> �is:ripcion ot Work o e one: <br /> � � �f�/F �e �/) A.-r.� � <br /> v' I <br /> I �� - <br /> I ' <br /> 1 <br /> �_ <br /> , L�1 <br /> I� IOTE: WAC 296-46-140 REOUIRES THRT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL� INSTITUTIONAI OR HEALTH CARE FAC!U TIES � <br /> j BE APPROVED BY THE STATE OF WhSHiNGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE APPROVED PLANS OEFORE A , <br /> I ._�' G TY OF EVERETT PERMIT WILL BE ISSUED. <br /> L� lOTE: WIRING IN NON-DWELLINGS IS REOUIRED TO BE IN METAL RFCEWAYS. <br /> I �1�1 I HERERY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br /> � APPLICATION AND KNOW THE SAME TO BE TRUE AND COfiRECL ALL <br /> PROVISIONS OF LAWS AND OROINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPEC�FIED HEREIN OR <br /> � ,=1�' NOT. THE GRANTING OF A PERMIT DOES NOT PqESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PflOVISIONS OF ANY <br /> OTHER STATE OR LOCAL IAW REGUTATING CONSTRUCTION OF THE <br /> PERFOFMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE `�--� <br /> OWNEF OF THIS PROPERTY TO PEAFORM THE WORK FOR WHICH FEE �S <br /> �'�', APPIICATiON IS MADE ANO I COMPLY WITH THE STATE . <br /> � CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br /> X ��'� rf�G/9 'y_ <br /> ignature Date <br /> 3S-F G � �I <br /> � <br /> � <br />