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APPLICATIO�� FOR ELECTRICAL PL.iMIT <br /> � �� <br /> '° � � vere#t �, ��' � <br /> � �� UILDIPIG DEPARTtv1ENT J � <br /> y H i9�0810 <br /> �C e <br /> H 70 <br /> � N� <br /> W H . , .�r^ '- <br /> x f,r lt-fa^f� t/i'.- :•.� <br /> � „� .�- . � C ` Phonay:rt- '. ,: t� <br /> � p� na� ��AAdress ���tY P <br /> F3 ner <br /> o H g y i,e�� .;�y_� .�� , <br /> � n �� �tlJress � t n <br /> H Ci7 „nan[ , � -' /'�� . . . <br /> �� n _ . 'ir.. _. , ..� � . i'.'. <br /> r"� C.'� � J : . �i - c7 -iC- : :C ' :i,•- - i: ...� .�. ; . .. ICCnsel <br /> 45H3 �L�/("f+.� � � - i honc � <br /> 9 H ['�J � cc[nca 6u�tractor� Mai dtlress �'CY P <br /> � <br /> Oyy ✓ ; i% <br /> raposc sc a Ou'i1���7 1 <br /> p.� ontract , r cc o Wor / S.� �� Sr <br /> c] Ctn �Pr �vECUp ���-{_-11s�'a�': <br /> ��� � � _� (O� � ll �f � <br /> i <br /> 'ro�ect ddress <br /> O � ///r:G. �;,� f� <br /> � iscnpt an o( '�York o c onc: <br /> � <br /> � �� <br /> i <br /> I �I IOTE: BECAPPROVE��BY TI1Eu5TFTETOFTWAS�'111GTOR ELn��LICAITS MKT�TSU�CiCJ005r,ItU51'SIOli11itIE STATERAPPROVED PlAN5�8EFOREEA <br /> I CIiY OF EVERETT PERHII NILL OE ISSUEO. <br /> '� IO1E: 'NIRING Itl t�ON-OWELLINGS IS RECUIftED TO �E I11 HETAI RACLwAYS. <br /> i �� <br /> 1 I HEREBY CERTIFY TfiAT I H�VE F7E�0 AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SA1dE 10 BE TRUE ANO COR(1ECT.ALL <br /> '� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS NPE OF <br /> WORK WILL BE COMPLETED WITH WFIETHEP SPECIf-IED IiEREIN OIt <br /> NOT. THE GRANTING Of- A PEf�MIT DOES N0T Pf7ESUME TO GIVE <br /> AUTHOi71TY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> `�' OTHER STATE OR LOCAL LAW REGULATING CONST(lUCTION OR T1iE <br /> PERFORMANCE OF CONSiRUCTION.THAT I AM1I AVTHORIZED BY THE <br /> OWNEFi OF THIS PROPERN TO PERFORM THE WORK FOR WHICH FEE <br /> CONT ACT10RS V�W 1A8.27 RCW DND 96.200 WAC.1T�i TFIE ST�TE <br /> X !' ' <br /> ; <br /> ; (;.,., <br /> uatc ��� �//� <br /> SignatuFe / <br /> l <br /> �__—_.____ <br />