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APPLI�CATIG�+ FOR ELECTRICAL P���MIT <br /> � [+7 � IV CF <br /> p � x �vere#t <br /> �H [�i� UI�DING DEPART�bIENT <br /> H � H �i9-8810 <br /> � yp � J/G <br /> ��.,. <br /> �N '{1 <br /> n �r1 � � � <br /> �1�J��r ri i/' (/�LA.�i �/i.s,< ��'7' S/�. <br /> ,��. .�r� .t7,D�//�/'✓%!/.oJ" CO.Gl j. �r <br /> � ��j �..ncr <br /> Ha �edre55 l ty p 'hanc <br /> N �t7 �'nan[ Ha� �dJrexs l ty p Plione ��J �f�pL. <br /> Q" n . /_' L C- • � '2 7 i M � /,°d/-_` /Y.!� v tnvvia il / /'.lTic - //..vi; <br /> p,� ❑ �✓ f ij - itense <br /> 7, y3' Icctr�ca lontrac[or ai ddress 6 ty ip honc <br /> i <br /> t Z � 7("�j <br /> py~ y ontract ncc o 'Nor roposed sc o uilJm9 <br /> ay� <br /> C]C p� <br /> [�tr `roJect �EdresS s'f <br /> C�1 �'�� <br /> 09 <br /> �� 'istnpCion of tvork o c one: <br /> � 7�/'—i�Y'� C/.0 �. / <br /> 1 <br /> � — <br /> I �_ <br /> � <br /> � ''�j IO1E: WAC 296-46-140 REOUIRES THAT PLANS FOR ELECTRICAL WOflN AT EDUCATIOGM1L, ItISTITUTIONAL OR HEr1LTH CARE FACIIITIES <br /> ��• BE AFPROVED BY T{1E STATE OF WASIIINGTOtI. APPLICANTS WITIi SUCIi J0�5 ttUST 5110'�V TtiE ST1TE APPROVEO PLANS OEFOAE A <br /> CITY OF EV[RETT PERt11T WIIL OE ISSUED. <br /> IOTE: 'AIRINC Iil NON-DWELLINGS IS REOUIRED TO �E Itl METAL RACEWAYS. <br /> 1� <br /> � <br /> I HERF9V CEF7TIFY THAT I HAVE READ AND EXAMINED THIS <br /> `� I ROV�SIONS OF LAWS ND ORDINAt COESE T VERN NG T�FII�S TYPE OF <br /> � ���' LVORK WILL�E COMPLETE�WITH WHETF' . .3PECIFIEO HEREIN OR <br /> NOT. THE GFANTING OF A PERMIT OOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEI THE PFOVISIONS OF ANY Q <br /> � OTHER SiATE OFi IOCAL U1W REGUUTING CONSTF7UCTION OR THE � <br /> �� PERFORMANCE OF CONSTRUCTION.THAT I AM AUiHOf11ZED BY THE n <br /> APPLICATIONISISRMADE ANDPEpC01PLYEWITOI�K71i�E STATE FEE / .� <br /> CONTRACTOFiS LAW 18.27 RCW�ND 296.200 WAC. <br /> X / � - � 7 <br /> L � <br /> Signa ure � 0� c <br />