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�P� <br />� <br />H <br />C H <br />y '] N <br />H � n <br />� y 'U <br />b H � <br />fA H <br />t9 O � <br />H C7 <br />ii�°On <br />z y � <br />� H H <br />o u� <br />O t+ <br />ff O N <br />� � M <br />2 H N <br />H O Co <br />i <br />� ���'. <br />r � <br />APPLICATION FOR ELECI'RICAL PERIVi1T <br />ciTv or <br />ever�tt <br />BUILDING DEPARTMENT <br />259-8810 <br />� .� . <br />. 1,;,,.,; � : � .I .. <br />!ss <br />��,.fl F•;[.11 `rn:'%) <br />tI'p � <br />-1 �I;' '> <br />SF1 M�� <br />e�ant ai d ress ity �p hanc <br />Z1Ll'ISLI�' 1 O F"C1�' f�L�. P'-f,\ �; �i.. i` :_, one icense # <br />ectrtca ontractor ai resa �Y P <br />� nr-titT �A�i_. <br />0 <br />'3„IS I �ti• �� <br />ro�ect ddress <br />iscription o Wor o eB Done: <br />3��J 17i1iNj �—Al'�4f>R.V � ��-rlTirJ(-;- � iiF'FPTA1'�r P� FoF; ;/�. �><;�+A2F. i-- �T <br />(�D(�� � �c;r.l _ <br />170TE: WAC 296-46-140 RF.OI11RE5 TllllT PLAt15 FOR ELECTRICAL WORK AT EDUCATIONqL� INSiITUTIONAL DR fiEALTH CARE FACILITIES <br />0E RPPROVEb 6Y THE 57ATE OP WASH�NGTON. APPLICANTS WITH Sl1CH JOBS tdUST SHOW THE ST�7E APPROVED PLANS BEF6R@ A <br />CITY OF EVCftETT PER111i YlILL f3E ISSUED. <br />NOTE: W�RING IN N011-�WELLIWGS IS RE0�11RED TO BE IN tifTAL RACE�.VAYS. <br />��� I HEREBY CERTIFY TH�T I HAVE REAO AND EXAMINED THIS <br />s �� App�ICATION AND KNOW THE SAME- TO BE TRUE AND CORFiECT. ALL <br />PROVISIONS OF IAWS AND ORDINANCES GOVERIJiNG THIS TYPE OF <br />� � WORK WILL BE �COMPIETED WITH WHETHER SPECIFIED HEREIN UR <br />NOT. THE GRAIlTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />I����q� AUTHORII Y TO ViOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCA�. Lt,W REGULATING CONSTRUCTIOIJ OR THE <br />PERFORM�NCE OF GONSTRUCTION. THA7I AM AUTFIORIZED BY THE <br />- OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPUGATION IS MADE AND I COMPLY WITH THE STATE <br />GONTRACTOfiS LAW 18.27 RGW AND 295200 WAC. <br />aa,tjL'_ �Up <br />FEE \?�j— �J�) <br />�� <br />�.'l � <br />�� <br />