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.Wx _ <br /> pPPLlCATIUN FOR ELECTRICAL NERMIT <br /> ��r�,�� <br /> evere#t <br /> � r� !3UILDING DEPARi�A�I[NT ,. - � <br /> ;� <br /> O �� 'S3�FJf310 ������ � . <br /> L,^ N <br /> � <br /> y �H C�I P �Z e 1� �C �_(< � I V� . �S i�[' ... 3 7 / J��� � T�.. �V o � I�: ��(,�l i /�' /��'� <br /> K n <br /> �3 Cd tSvncr Na� Address � Cy p 'hanc <br /> oxo <br /> hd ri 4t �,�v.._c <br /> y H — <br /> �� � Tenant Hai AJress li[y ip I'hone 3»'-riSy <br /> d We '�l 1.. rcl"v :� ��a 3<. n j77 i�h ,i `t � �'c` �t� � f9.27S 4� 1'�7L'Carll3�-3 <br /> ETectnca �ontractor -T7.ii dd�TT ess CTCy Ipl,F��o �cense R <br /> �y / <br /> H � <br /> N C�7 O �-�•-� �lI�G-'J/L/1L. — <br /> 'n" nG lanCract ncc o Wor raposeJ s ol ui d ng <br /> 2,' H 3 <br /> a H [sf -37 // .�i�v.i �, U < F J f _r il� ✓9 <br /> �"� H y I'rn rct Atlress <br /> g� H T� .... �. I��w' � �' �� le -- /( /-�� <br /> O C)f/� lii;crip[ian o� ',york o Oc onn: <br /> � � [�7 <br /> HOtyi� <br /> � __ <br /> i . <br /> ��` :10TE: WAC 296-46-140 REpUIRES THAT fLAGS fOR ELCCiRICAL WORN AT E�UCATIOtInL� IIiSTITUiIONAL OR IIEALTF' CARE FACILITIES <br /> OE APPROVEO 6Y 111E STATE OF WASHII1f.TON. APPLICAHTS NITH SUCH J0�5 MUST SHO'tl 111F STATE APPROVED PU1N5 DEFOflE A <br /> CITY OF EVERETT PERHIT WILL BE ISSUED. <br /> ' t10iE: NIRItlG Itl IIDN-DWELUtIGS IS REOUIRED TO Of. IR HETAL RACEWAYS. <br /> I �� ' �1 <br /> /j � � <br /> t� I HERE�Y CERTIPV 7lIAT I HAVE READ AND 1'7:nt.11NcD iH15 �) <br /> �_ APPUCA710N A�7D HNOW illE SA61[70�[Tf1U6 AIJO CORfiECL ALL <br /> PROVISIONS OF LAWS�NO ORDINANCES GOV[RNIHG IHIS NPE OF <br /> WORK WILI BE COIdPLFTED WIiH YlHETHER SPECII9GL'HEREIN OR <br /> IJOL THE GF7AN11NG OF A PEf71dIT D08S NOT P(1GSUtdE TO GIVE <br /> �� AUTHORITY TO VIOLATE OP CANC[l THE PROVISIONS OF ANY <br /> = ' OTH[R STATE Ofl IOCAL LAW PEGUV�TiNG COIlSTRUCiION OR THE � <br /> . � PERFORMANC[OF CONSTf7UCtIOH. THAT I Atd AUi1�URIZED�Y THE !� �-.' L'= <br /> OWNER OF TIIIS PROPERTV TO PEf7F0f161 THF WCia! FOR WHICH ff.f. -� ' <br /> APPLICATION IS MA�[ AND I C01dPLY Y�IIII iH[ STATE <br /> �� CONTRACTOPS LAW 10.2Y,qCW�ND 29G.2001N�C. <br /> \� <br /> �� <br /> �� <br /> X ' � <br /> �_—r..y4--�/�,�- �- -- =-�1 - `i . <br /> Signatorc I " Cat.c <br />