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APPLICAT��N FOR ELECTRICAL NERMIT <br /> � cirr ov evexetr <br /> < BUILDING DIVISION <br /> 3t00 CFDAR STREET <br /> EVFNEfT. IIA 98201 <br /> 259•88f0 <br /> .'�ih 7�i4a�,n_cnnJ Y'n, l3oK �C�/!a f.,�r_�ll�ia. G�1U�0 /.,59- nvo� <br /> net�r —I Ma d resa ty [aCe p �ona <br /> �C/4.�� � <br /> i�nan[ a tl ress ty tate Zlp� anTi e— <br /> /11c-G,�fi�E�1c7/.i� 3o s �o...��t E��f l�e a�,�o�ozt„�-S��y7 /19cGi%vE' Si79�•.� <br /> ectr ca ontractor aiT E rG55 ty �tate p one tate cense o. <br /> � .CPSIOtN�is� �. .��N <br /> antract r ce o or �ProposeJ se o �Bu� d ng <br /> u2 7/.s� D"/N<. <br /> Pro ec[ EEress <br /> Dlxription of Xark To Be Dane: `//d-! r�Tp,a/2 � /JPW �clT��r-S � �/y�/�_S <br /> NOiE: XAC 296-46-140 FEOUIRES THAT PUNS FOR ELECTRIGL XORI( AT EOUCATIONAL. INSTITUTIONAL OR HEALTH GRE FACILITIES <br /> OE APPNOVED BY TNE STATE OF MASHINLTCN. APPLIGNTS XITN SUCH JOBS MUST SHOM TME STATE MPftOVED PLlNS BEFORE A <br /> ,CITY OF EVEftETT PERNIT XILL BE ISSUED. <br /> NOiE: MIRING IN NON-DMELLINCS IS REOUIPED TO BE IN CONOUIT. <br /> I HEHEBV CERTIFV THAT I HAVE READ AND'EXAMWEO THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND COPPECT.ALL <br /> PROVISIONS OF UWS AND OROINANCES GOVERNING THIS TYPE CF <br /> WOpK WILL BE COMPLEfED WITH WME711ER SPECIFIED HEREIN OR <br /> NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHOflIN TO VIOIATE OR CANCEL THE PFOVISIONS OF ANY <br /> OTHER STATE OR LOCAL lAW REGULVING CONSTRUCTION Ofl THE <br /> PERFOPMANCE OF CONSTRJCTION.THAT I AM AUTMOFI2E�BY THE <br /> OWnL�OF THIS PROPERiY TO PERFOFM THE WORN FOR WMICH FEE � S <br /> APPLICATION IS MAOE ANU I COMPLY WITM THE STATE <br /> CONTRACTORS fAW 18.27 RGW AND 296.200 WAC. <br /> f � <br /> �l 'Q=e '� _ I�� G�l <br /> Signa[ure / �ace <br /> 9 <br /> L_ _ F�� i. L <br />