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R..: <br /> 1 • <br /> APPL1CAi �ON FOR ELECTRICAL PERMIT ; <br /> ��n o� ��� � <br /> UUILDINC DIVISION <br /> x["`il 3200 CmAR STREET <br /> �s�a y EV[RFTT� NA 98207 <br /> G�H 259-8810 <br /> aHcn <br /> H �3 .N-H L�'i /SC,✓ �[,� ' Jt�.c...l..-✓ /-i; '><i� `�:.V lj'.'t/ ;ils.2 .i:'>'i�� <br /> � n rvncr Mail Udress ity ta[e tip Phone <br /> ti'.b <br /> oxo <br /> �i1 H'i1 <br /> y N�-~i cnant Mai �dress ity tate ip hone <br /> � H l7 �L'�'1�-Sj �� (.�y / /�✓�' �/ �� i ( �( '< 7 < �./� ,.}� � 1 ' c. <br /> OH �__ �/V //{' L- �O .S/ �/ / J � I /'�/`J`--� // / N/i / G�I_ J/�L�-� . <br /> .y n ectnca ontractor Mai ddress ity tate Ztp� on��[ate ticen,�— � <br /> � �� ���� <br /> Li <br /> yy ontract rice o Wor . ropo�d Use o Bui d ng . ' <br /> t" x <br /> HH l ! <br /> g y H �.�`�ti._� <br /> n �y y roject Address �( <br /> � �� / � 1 <br /> z H� Discription of Wark Ta Be �onc: ��/��V_�,-( �� �l : 1� L.�,i .S� 1.' � �/�7 <br /> r3 O f/� <br /> . . � <br /> — f <br /> — i <br /> � — <br /> �1i <br /> � � __ _ <br /> NOTE: WAC 296-46-740 REOUIRES THAT PLANS FOR ELECTRIG4L WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES i <br /> �E APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE APPROVED PLANS OEFORE A � <br /> � i .CITY OF EVERFTT PERHIT WILL �E ISSUED. . <br /> n► <br /> NOTE: WIRING IN NON-DWELLINGS IS REOUIREO TO BE IN LONDUIT. <br /> ! "'! 1 HEREBY CERTIPY THAT I HAVE REA� AND� EXAMINED THIS <br /> APPUCATION ANO KNOW THE SAME TO BE TRUE AND CORREGT.ALL <br /> PROVISIONS OF IAWS AND OR�INANCES GOVERNING 7HIS TYPE OF <br /> WORK WILL BE COMAIETED WITH WHEfHER SPECIFIED HEREIN OR <br /> a^ ..� NOT. THE GFANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHOFi1TY TO VIOLATE 09 CANCEL THE PFiOVISIONS OF ANY <br /> OTHER S7ATE OFi LOCAL lAW REGULATING CONSTP.UCTICN Ofl iHE <br /> t � P'cRFORMANCE OF CONSTRUC710N.THAT I AM AUTHOR12ED BY THE .-� ..— � <br /> .....�I OWNEF OF THIS PROPERTY TO PERFORM THE WOFK FOR WHICN FEE ; .�) <br /> APPLICATION IS MADE A4D I COMPLY W17H THE STATE <br /> CONTRACTORS LAW 18.27 flCW A'1D 296.200 WAC. , <br /> 6„" <br /> ' _' X ��,--��t.,;� I ( ����,.,, /� , ti- 'i.� <br /> $ignature �aYe ' <br /> III <br />