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��� APPLICATION FOR ELECT�ICAL PERMIT <br />� <br />iv CF <br />�ver�#t <br />UILDING DEPARTti1ENT <br />59-0810 <br />C�' <br />�wnx at aoress CY P nane <br />I� u.. �LeC(¢iL Te.IG. �.o. �x 3�}2a EJFttfi" `f8 8 8-9z26 <br />�eccr�ca l.oncraccor ei aar<ss �s�Y �P none —Gcense • <br />mtroct n�o ror , roposea se o m mng <br />14oh �.�aoe�aa <br />-roJec[ Aearesa <br />�Sc�tptlon O WO�k o 0 One: <br />WIQE fJEW NowE 2oohu-���i2../i C <br />97E: WAC 296-46�140 REOUIRES THAT PIANS FOR ELECTRICAL NOflK AT EUUCFTIONAI� R�STITUTIONAL OR HERLTH CARE FACIUTIES <br />BE APPROVEO BY TME STATE OF MAS/IIt�GTON. APPLICANTS XITH SUCN JOBS MUST SM�W THE SiATE PPPROVED PUNS BEFORE A <br />CITY OF EVERETT PEPMIT WILL BE ISSIlEO. <br />f.iE: WIRINL IN NON-OwELLIHCS IS PEOUIflEU TO OE IN METAI RRCEXAYS. <br />I HEREBY CEPTIFV THAT � HAVE REAO AND E%FMIkED THIS <br />APPLILATION AND NNOW THE SAME TO BE TFUE ANO CORRECL AlL <br />PflOVISiONS OF IAWS AND OR�INA�ICES GO`/E9NING THIS TYPE OF <br />WOfiR WILL BE COMPLETEf1 YlITH IVHETHER SPECIFlED NEflEIN OR <br />NOT. THE GRANTING OF A PERMIi DOES IJOT PRESUhfE TO GIVE <br />AUTHOflITY TO VIOLATE OR CANCEL THE PflOVI510N5 OP ANY <br />OTHEF STATE OR LOCAL LAW AEGUTATING CONSTHUCTION OR THE <br />PERFORMANCE OF CONSTRUCT70N. THAT I AM AUTHORIZED BY THE <br />OWNEfl OF THIS PROPERTY TO PEPFORlA THE WORK FOR WHICH <br />qPPLICATION IS MAOE AND I GOMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RLV� AN0296.200 WAC. <br />X 79 �o � a �y��,s:,�. ��=5��— <br />Si9nature Date <br />FEE �5 � <br />%o�'� <br />