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aPPLICATII.�� FOR ELECTRICAL I �RMIT <br /> amcc <br /> evere#t <br /> BUILDING DEPAFTh1ENT . <br /> 259�8810 <br /> j nsc_ �ronzc las �30� C IleSe. ,4�f 1=�eti'fl" 991Zoi �}R -��.9�" <br /> arvner ni Adtlrcas ty ��tiu—Phane <br /> �1 ��- OI� <br /> rnan[ �--��� tlEress rty p hone <br /> Cea��ss-1 E1cr1����,, . 40��5�,_�'-II, s•r F r.��t 4fl2.n� 2s9-1992.. fiuElo�qN <br /> ec:r ca. �o�[r(a�ctor Nt�aress CCi y Lp (� none icenxe I' <br /> p�2.0U VUOII- <br /> onvacc nce o 'dor ropasea ,e o o� ding <br /> 32oA �,,,,b��d__ <br /> �ect AGOross <br /> U�scriptian of Mo�k o c one: <br /> �p �{-..�� ncw 2 �nnn mr.�-�rDar�' t �oa�ro��¢.,rt <br /> IIOTE: 'ddC I96-46•1�0 REOUIPES iHAT PLTNS FOR ELECTRIGL WORK AT EDU[RTIONAL� INSTITUTI�NAL OR HEALTH CARE FACILITICS <br /> BE APPftOVEO 0Y THE STFTE OF WASk11IICTON. APPLICANTS WITH SUCH J005 HUST 51{ON TI{E SiATE APPROVED PUNS BEfORE A <br /> CITY OF EVERLiT PERHIT WI�.L BE ISSUED. <br /> fI07E: 'dIRII1G 111 IlOfl-OWELLRlGS IS REOUIRED 70 DE IN RETAL RFCEWAYS. � <br /> ��3 ? <br /> 1 HEPEBY CER'lIFV THAT I HAVE REAU 0.4D EXAMINE�THIS <br /> APPUCATION AND KNOW THE 54MC-TO BE TRUE AND CORRECL ALL <br /> PROVISIONS OF LAWS AN�ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BL COIAPLETED WITH WHETHER SPECIFIED NEREIN OR <br /> NOT. THE GRANTING OF A PERAIIT OOES NOT PRESU67E TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE Ofl LOCAL LAW HEGUTAiING CONSTPUCTION Ofl THE <br /> OWNE�R OFNTHI6 PROPEFlTY TO PERFOAFM THE WORKIFOFi W ICH FEE �S. 7 b / <br /> APPLICATION IS MADE ANO I COMPLY WIT11 THE $TATE — <br /> CONTRACTOFiS tAW 1027 RCW t,NO 29G200 WAC. <br /> �`��! � r; �+- ZO' . <br /> Signa[ure �a e <br />