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APPLICATi�J FOR ELECTRICAL f`:RMIT <br /> =vere#�t <br /> _UILOING DEPARTy1E�T <br /> .�s-ae�o ' <br /> �r� 2DL0 ln�r�tx �I �t� 1�Z07 3L..>>-�B�I <br /> (�f,r��fl�1 � hone <br /> lT�.rner Mai AdGress � CY P <br /> SuNv�e. I12�i� d-1o.� �� ��.u>i�► �'��ec�� �1 �3� OI �t,M� <br /> ienant <br /> ai Cdress ity �p hone <br /> ��-e.�� � hone icense s <br /> cieetrica ontractor Mai ddress � CY P <br /> �� <br /> �� � �. <br /> �ontract n ce or 'Nar roposed Us�e�..opr ui aing <br /> 1` �1 (�'z-°i �' . �v�v�— v��z� l"�; ���.QXI� �l�2�1 <br /> ro�eet ddress <br /> Ji;eription ot 'Nor;c o e one: ��`v e1 � ) <br /> �ec.�r�c� -- COrvtw�er� <br /> �.� •-��—`-' <br /> NOTE: 'dAC 2°6-46-140 REOUIRES THAi PldNS FOR ELECTRICAL YIORK AT EOUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> CETYPOF EVERETTTPERM�TTWILL BE HSSUEDN �PP���NTS WITH SUCH JOBS MUST SHON THE STATE APPROVED PU�NS BEFORE A <br /> , t70TE: 'HIRINC IN NON-OWELLINGS IS REOUIRED TO BE IN METAL RACElYAYS. <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> PROVBAONS OF LAWS AND ORDINANCES GO ERNING THI�S TYPE OF . <br /> NOT. THE GRANT Nf3 F A ERfA1T DO SENOT PR'ESUME TO GI�VE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL V:W REGUTATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.?HAT I AM AUTF'ORIZED BY iHE �J <br /> APPLICATFONISS MADE ANDPE CO PLY E'JI�HK HER STATE FEE 7 � <br /> CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br /> X`�,�,� �,� � 2,2 � L_ <br /> Signature Date <br /> �.��30 <br />