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( <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> � ciTr oF Evmerr <br /> WILUINC OIVISION <br /> 3200 CmM STREET <br /> EVEREfT. YA 98201 <br /> '159•88t� <br /> /c_J�rtr_, ���i"� /�/�//U l�°/ ,�rl' /�c!' /X//c[c� �%�'r-r�5' C`�`>-..23,�'� <br /> er a tltlrcis ty ta[e/'���one <br /> cnan[ a� E ress ty [ate p hone <br /> � - �� <br /> ectr ea on[rac[or ai Eress ty Gate p one ta[e icense o. <br /> ,5/= ,����� /h,t�? <br /> ontraet nce a or -Proposed Usc o uiTing <br /> .S`/O/ ��r/�,ii�i /..,,i Lnt ��/ <br /> P'ajecc aaresa <br /> Diseription of Xork To 9e Dane: //�}r/ ��[.l_;� �./J�-tI^i' <br /> NOTE: WRC 296-46-140 REO�IRES THAT PLANS FOR ELELTRICAL WORK AT EOUCATIONRL, INSTITUTIONFL OR MEALTH [AftE FACILITIES <br /> BE APPROVED BY THE STATE OF WPSHINLTON. APPLIGNTS.WITH SIICH JOBS HIIST 54{OW THE STATE APPFOVED PLRNS BEFORE A <br /> ,CITY OF EVEREiT PERMIT XILL BE ISSUED. <br /> NOTE: WIRINL IN NON-DY��LLINLS IS REOUIREO TO OE IN CONDUIT. <br /> I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED TNIS <br /> APPLICATION AN�KNOW THE SAME TO BE TflUE AND CORflECL ALL <br /> PPOVISIONS OF IAWS AND OROINANCES GOVEflNING iH15 iVPE OF <br /> WOFK WILL BE COMPLEfED wITH WHEfHER SPECIFlED HEREIN OR <br /> NOT.TNE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THF PROVISIONS OF ANY <br /> OTHER STATE OH LOCAL LAW REGULATING CONSTRUCTION Ofl iME <br /> PERFORMANCEOFCONSiRUCTION.THATIAM AUTHOR2EDBYTNE � <br /> OWHER OF THIS PROPEHTY TO PEflFORM THE WORK FOR WHICH FEE <br /> APPIICATION IS MAOE AND I CO�IPLY WITM THE STATE <br /> CONTfiACTORS LAW 18.27 FCW AND 29fi.:00 WAC. <br /> X �.��r�����i/..� 7—/�!%� <br /> —'Signature Da[e <br /> i <br /> �ij ' � <br />