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APPLIC�i _ JN FOR ELECTRICAL .'ERMIT <br /> aivcr � <br /> evere#:t <br /> ' F3UILDIFlG DEPARTNIE�IT - <br /> 259-�010 <br /> �3�� ��+ <br /> 1 I_ A - -".� � ��NJ�P� �a�l �� (q.�}�"� S�BLJ <br /> Unnc�• , Hni�Address l� 7YTp 'hnn��c— <br /> l! <br /> �]pY1 i� � Ii <br /> cnant S 1 5_ �� � ���ress � tl-y-Z�r ionf e— <br /> ����t,bE i I G,� �����1(]�_��i c1.1 <br /> �[r ca 600tra o n d rass � ty p 'hone cense <br /> 2ontraet Pr�ce o Vlnr roposc s-c aT-�l�ing <br /> V� <br /> ro ect tldress , . <br /> ' c�-I-a.l � (�7 <br /> ��rn[a�P �'X�S�� l �� on �� i � r'1 � n� �� <br /> Ui;-- c` r�ipt�an or{Vork lo Bc uone: J <br /> t10lE: WAC 296-4G-1h0 REQUIRES TIIAT PL�t15 FOR ELECTRICAL WORK Ai F.DUCATIONAL, IIISTITUTIOt7Al OR IIEAITII CARE FACIUTIES <br /> UE APPROVF.D OY TIIE STAIE OF W�SIIIIIGTOtI. 11t'PLICANTS MITII SUCII J005 NUST SI!01V Tf1E SiATE Af't'ROVED PLANS OEFORE 11 <br /> CITY OF EVERFTT PERHIi WILL �E ISSUED. <br /> ❑01[: 'NIRIIIG 111 R011-�WfILItIf,S IS REOUIR[D 1(1 f1F Itl IIETAI. RACEWr�.YS. <br /> I HFRE�Y CEf1TIPY THAT I II�VF f7EA0 M7U [XAA7INED TI115 <br /> APf UCAiIOtJ At10 KNOW THE SAIdE TO Ot_T(iUF�NO CORftECT.ALL <br /> PROVISIONS OP V�WS �ND Of1DINANCES GOVE11MItJG IFIIS TVPE OF <br /> VlOF1K WILL BE CUMPLETED WI7H IYHETIIER SPECIFIC-D IIEFlEIN OR <br /> IdOT. TIIE GRANTING OF A PERMIT DO[S NOT PRESUME TO GIVE <br /> AUTHORITY 70 VIOLATE UR CANCEL TI�IE PROVISIONS OF APIY <br /> OTIIER STATE OR LOCAI U1W f1EGUVUING CONSTf1UC110N Ofi 1HE <br /> P[RFOFlIdANCE OF CONSTRUCTION. TIiAT I AM AU7110f112ED BY iHE <br /> OWNEFi OF THIS PROPERTY TO PERFORM THE WORI< POR WIIICH P[[ <br /> APPLICATION IS MADE AND I COh7PLY WI11i THE STATE <br /> CONTRACTORS LAW 18.27 RCW ANO 29G.200 WAC. <br /> X ��-�-7� <br /> Signatur �.'�c <br /> . j <br /> � �-, <br /> � ������.� � <br />