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APPLl�ATiON FOR ELECTRICAL PERMIT <br />, <br />cm cF <br />ever�tt <br />BUIIDING DEPAR'f�tENT <br />2E9•8810 <br />�1. <br />�T'o�s-R'Us 13Z�' Si;,L���tf %��ll l.�t� 3s�-6g$p <br />n��er— Maf AGErnas ty ip --Fpone <br />Scti.e <br />�enanc 8ai aarcsa t[y p �ana <br />i32 � �.� . c�e,�� {+ ksll W.y <br />����t �da�ess � <br />tstrlption o/t N]rKr o e ane: `I ,7 p / <br />FY.i'<..�^ f� �. �v��l-S (T� P-h I!.14y,-�-Prit P4��^9r ('e_ — 1.�4�c� �i�S�l_ <br />NOTE: NAC 296-46-140 FEOUIRES TXAT PIA.S F9H EL_C:RICAL Y100.K TT mllUTIONA:, INSTITUTIONTL OR XEILTH GRE FACILITIES <br />BE APPROVO BY THE STATE OF NA1A�i:�ON. APPLIGV7T5 WITH SUCH .10&$ MUST SiiON THE SihTE TPPpOV� ?LWS fiEFORE A <br />Cltt OF E'/RETT PERMIT WILL 9E ISSOED. <br />NOTE: WIRINC IN NON-OWELLINCS IS ftEdUTAED TO 9E IN CCNOUIT. <br />I HERE9Y CERTIFV THAT I HAVE flEAD AND EXAMINED THIS <br />APPIJCATON ANO NNOW THE SAME TO BE TflUE AND COFRECT. ALL <br />PflOVISIONS OF LAWS AND OFOINANCES GOVERNING THIS TfFE CF <br />WOFK WILL BE COMPLETED YlRH WHE7Hcrl SPECIFlE� HE'nEIN Oq <br />NOT. THE GRANTING OF A PEPMIT OOES NOT PpESUME TO GIVE <br />AUTHORITY TO VIOLF.� E OR CANCE! THE PROVISIONS OF ANY <br />OhfER STATE Cfi LOCnL lAW F�ULATING CONSiFUCTiON CR iHE <br />PEAFOFMANCE OF CON5TIUCTION. THAT I AM AURiORIZE� BY THE <br />OWNER OF���{{{111IS PqOPERT' TO PE'nFOFM THE WORK FOF YMICH <br />APPLICATfOf{ IS MAOE AND I COMPIY WITH THE STAiE <br />CCMRACTOt;6 LAW 199 RCN' AND,29(�200 WAC. <br />/ / <br />X - i �.t�_(�Q . <br />Signasuro � � Qase <br />��7(�7'7 � <br />