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APPLICAI ,JN FOR ELECTRICAL ,�ERMIT <br /> � CITY OF CV[RLiT <br /> (SUItDINC UIYISION <br /> 7700 LmFR o1REEf <br /> EVFAEfT� MA 98201 <br /> 259-&810 <br /> ^ 9d1�/ '/ <br /> �ner � Ff 1��+' .i10/5' l�[T M/F. FUEw�f71� f� . �.� .TS:�-(S14 <br /> �a':�are4s ity �tattl 1�-- —`�(pone <br /> enant a ae�ez: �cy ta[e ip hon�— <br /> JL"�lELI FLrrt2�L i7Y.." iY.l�'�qUF F-'f nl.��ra�N✓rL(E c�c�A. 9Yoi.Z 7YV-o�X:2 Ti.v.U�E/!J'.ri..� <br /> t c 1 lontractor Nafl Ad�ress �' pi y 5pepe/ p hone Ca[e icen5e !o. <br /> SF R <br /> an[rac[ nce o or �F'ropo.ed Use ol'7iuTinS — <br /> ��.Y Hovr iJdE � i��> �uA. 4�i <br /> Pro�ect Edr s <br /> Oiscription of Work iu Be Uane: j�/,WA�E licr.� uJJ. _ _ _ __ <br /> p07E: WAC 29G-46-140 RWUIflES TNAT PLANS FOR ELECifICAL WOPA AT EOUCATIONAL� INSTITUTIONAL OR HEFLiH CFflE FACILITIES <br /> �E hPPROVEO 9Y 7HE S7ATE OF WASHINGiON. APPLICANiS WIiH SUC11 J005 M75T SHOW 7HE SiATE APPROVED PLRNS �EFORE A <br /> CITY OF EV�REiT PERMIT MILL BE ISSUEO. <br /> NOTE: MIflINC IN NON-DWELLINL$ IS REOIIIPED 70 BE IN CONDUIT. <br /> I HEREBV CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> APPLICATION ANO KNOW THE SAME TO BE TRt;E ANO CORRECT.All <br /> PFOVISIONS OF IAWS ANO OROINANCES GOVGRNING THIS TVPE OF <br /> WORK WIIL BE GCMPLETED WITH WhETHER SPECIFIED HEREIN OF <br /> NOL THE G�ANTING CF A PEFMIT DOES NOT FpESUME TO GIVE <br /> AUTHOFITY TO VIOLATE Oq CANCEL THE PROVISIONS OF ANV <br /> OTHEH STATE OF IOGAL LAW REGULATING CONSTRUCTION OR THE <br /> PEFFORMANCE OF CONSTflUCTION.THAT I AM AUTHOPIZEO B�THE �/ �L�/' <br /> OWNER OF TNIS PqOPERTY TO PERFOqM TNE WOFK FOfl WHICN FEE ,�75 / <br /> APPLICAiION IS MAOE AND I COMPL" WITH TNE STATE <br /> CONTRACTOPS L4W 18.27 RCW AN�'.96.2 W V.AC. <br /> X �� �_ � �� <br /> SlgnaCure'' �.te <br /> � I, <br /> a�,a-,� <br />