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APPLICATiC�! FOR ELECTRICAL F�'RMIT <br />;:rr cF <br />��vere��t <br />_UILDING DEPART�IE�T <br />_59-2810 <br />�, <br />'SaME P�S A��E � hone icense x <br />_�ec[r ea �a�tractor Ma� ddress � CY P <br />SP:AE aS A60V E. roposed se or ui aing <br />�ont�act rice or 'Nor <br />•' � •� - <br />i �' <br />� .. 1s. • . • � • <br />� ' ' <br />� � � �• L.. •. <br />. � � <br />� � �_����z... ' . _ <br />NOTE: WAC 296-46-140 REOUIRES THAT PLdNS FOR ELECTRICAL WORK AT EDULATIONAI� INSTITUTIONAL OR HEALTH CAfiE FACIIITIES <br />CETYPOF�E4ERETTiPERMITTNILL OESHSSUE�N. APPLICANTS MITH SUC4 J085 MUST 5110M THE STATE APPROVED PLANS BEFORE A <br />NOTE: 'AIRING IN NON-DWELLINGS IS REOUIRED TO BE IN METAL RRCE'�VAYS. <br />1 HEREBY CERTIFY THAT I HAVE PEA� AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PFOVISIONS OF LAWS AND OHOINANCES GOVERNING THIS TYF'E OF <br />WORK WILL 8E COMPLETED WITH WHETHEF SPECIFIED HEREIN OR <br />NOL THE CaRANTIN6 OF A PERMIT DOES NOT PRESUME TO 61VE <br />AUTHOHITY TO VIOLATE OFi CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULITING CONSTRUCTION OR THE <br />PERFORMANCE OF CONGTRUCTION. THAT I AM AUTHORIZED BY THE <br />pPPIICATIONISSRMADE ANOPE COMPIYH WIT�HKTHE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />X ��;� I�za���_ <br />S gnature <br />Date <br />FEE �� <br />