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yCr� `i <br /> � Dy7 �1 <br /> .O `.tiCC <br /> C H <br /> 9 H CA <br /> y � H APPLICATIuM FOR ELECTRICAL r-tR�flIT <br /> K � <br /> H �7 <br /> �'�+7Hh1 <br /> N H <br /> oy� etiere#�t <br /> H �C ';UILCING DEPARTP.1Ei 17 � <br /> ,n� O .�9�cG10 <br /> zyH� <br /> C H y . . <br /> g `� H :J.<� ;J� i- ._����P�-1LG✓so�✓ ��� y �,v;F'f,�. �U�.2En l,�/�} ��`�0 3 <br /> n d � C�nncr Mai Addre.s tty tp Phone <br /> �� � S,�mc <br /> 2 H fA ienanc Hai �tldress 6ity ip hone <br /> HOV� <br /> -=iectrica lontractor Mai ddress ity �p none �cense x . <br /> �..ontract n ce o 'Nork roposed Use o ui ding <br /> �o� o J �v.J � ('�2 I�P . �d�2c77 N"aL <br /> h'rOJect AdtlreSs <br /> Jiscrip[ion or 'Nork o Be Uone: • <br /> CN/-FtiGE- oLh C� LL-�T� � C ,9L G3n,� �i J '-�� s �= ; <br /> � <br /> �10 �t-1,J L°.4Re+vd � a� �' iAl_c' � y'�vx <br /> I ��0 <br /> � <br /> � : <br /> I ��� <br /> '� '�r�r� ;lOTE: WAC 296-46-140 ftEOUIRES Tt1AT PVU75 FOR ELECTRICAL WORK AT E�UCATIONAL� INSTITUTIOtlAL OR HEALTH CARE FACILITIES <br /> '� BE APPROVE� 6Y iNE STATE OF 'NASH117GTON. APPLICANTS WITH SUCH J005 MUST SHOW TNE STATE APPROVED PLANS OEFORE A <br /> � CITY OF EVERETT PERHIT WIIL BE ISSUED. � <br /> � ;IOiE: 'dIRING IN HON-OWELLINGS IS REOUIFEU TO �E Itl 11ETAL RACEWAYS. <br /> � �� <br /> �r I HEREBY CERTIFY THAi� I HAVE READ ANO E%AMINED THIS <br /> I �1 ' APPLICATION AND KPIOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> � PROVISIONS OF UWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WOflK WILL BE COMPLETED WITH WHETHER SPECIfIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES tJOT PRESUME TO CaIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PfiOVI510N5 OF ANY <br /> � OTHEF STATE OR LOCAL LAW RECaUTATING CONSTRUCTION OR THE <br /> � PERFORMANCE OF CONSTPUCTION.THAT I AM AUTHORIZED BY THE , <br /> OWNEFi OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH FEE -�� �� <br /> APPLICATION IS MADE ANO I COMPLY WITIi THE STATE <br /> �� CONTRACTOFiS LAW 18.27 RCW AND:96.200 WAC. <br /> ���. ' �I � <br /> i �_ <br /> X ��-i.( � .; i <br /> -�-tC,r , l: .t � ;� �_ <br /> i <br /> /5i nature �,�tc <br />