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��� <br /> H <br /> C H <br /> � H C/� <br /> H � H <br /> tC C� <br /> H 7tl <br /> 'i1 N hd <br /> y y � y APPLICAT{���1 FOR ELECi RICAL '�_ �RMIT <br /> � x� <br /> a � d j-� <br /> �� g ; n`' ; <br /> �y � ��' 1.� . � <br /> z i-+ :mcr APR - 9 00� ' . <br /> �y� evere#.t . �.,.,_ '_v ? <br /> �y y y ' �UILDING DEPARTMENT ...... <br /> . <br /> CITY OF [VERETT <br /> o �"� 25g•8810 <br /> o��n Public Werks Dept. <br /> � o� � � � � � -, . . -, 1����. �t,�,'�� , UJ��� yS:�D3 '3 4`1-I h��� <br /> ��� �� ,� , 1� � ��,t,': � u- - <br /> ; r�,o�,e <br /> � n(n'er, - �L �a ddress � ty � <br /> � "'���� .�� .��'�U�' a d ress � I ianc '_UC�S:ti-'IY�`I <br /> �nan[ i, � 6 ty J � � � 1 ���� v i � <br /> 1 , � � i i��� ldn �a ( ,il� ��C� �C�,i,��.� 1il,�l G�fl /�L��� 5���1LU7-�` ILi�� l3 <br /> ,. 1—�--'-Z ionc cense �' <br /> ' ec[r a 6ontractor 1at daress ���Y P r <br /> /f� ��. ,� �., � , ���� - �� �r-� <br /> �� / � rnposc sc o ui lia9 <br /> l/ontrDct r Ce a or / ( �J�- <br /> OS 1 ��� IL���. ���- ��.� �L�l ��� l� <br /> ro rc[nddress <br /> iscnpt on o ��or o e one: � . _ <br /> i � n — �Ei�) � � �t� � <br /> c . ,G�,�:i �L ' ` NC UT <br /> �_1 — J C , <br /> 1 � _ �� ���y�_ <br /> � <br /> � � <br /> ��� <br /> j IIOTE: BECAPPIiOVED�BY TIiEUSTATETOfTWASi'IIlGT01.EL1PPLICA7i5aWITITSU�CICJ005"tU5TI5110WTT1E STATERAPPROVEDCPl�N5n0E OREEA <br /> CITY OF EVENETT PERHIT WILL OE 155UE�. <br /> '-1 : t10TE: WIRIt7G 117 NOtI-OWELlINGS IS REOUIRED TO O[ Itl ItETAI RACEWAYS. <br /> ' , <br /> I HEREBY CEflTIFY THAT I HAVE READ AND EXAMINED TIIIS <br /> '�' � APPLICATION AND KNOW 7HE SAME TO BE TRUE AND COViRECT.ALL <br /> PROVISIONS OF LAWS AND OROINANCES GOVERMING i111S NPE OF <br /> NOT. THE GR�T NG OF Ao EiiMITVDO[5 NOT Pf7lESUMEETO GIOVE <br /> 1 AUTHORITY TO VIOLATE OFi CANCEL TFIE PFIOVISIONS OF ANY , <br /> ' OTHER STA1E OR IOCAI lAW REGUUTING CONSTf1UGTION OR 7HE � ^�', �.�, <br /> PERFORMANCE OF CONSTfiUCTION.THAT I AM AUTHOR�ZED BY THE i: <br /> � APpUCO iONISS�MADE AN PI��COMPIY WIO�K �O� STATE (EE � � <br /> CONTRACTOi7S LAW 18.27 F7GW AND 296.200 WAQ , <br /> i <br /> i _ ' <br /> x .' ' '',�,CC �� �('.���(, �I � ' 1 �i�� <br /> � Siqnatara / � � �Datc <br /> � <br /> 3C, ,J �`c� <br />