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y �— . <br /> __ ,- -._._. <br /> APPLICAT��;N FOR ELECTRICAL . �RMIT <br /> cm oF <br /> £Vf'f'��� <br /> BUILDING DEPARTMENT , <br /> 259•8810 <br /> � <br /> 1r1��\� �L11�G 5 �r�U ) �(�`,��(� �G I�VC�, V� �ti�l�� 1r�iJ (� l : �l �1�,1�-� �lc� ) ���5"����Ci <br /> wn�er Mai Address t�y— i� Phone <br /> ��� � <br /> nnant a� ddress�- ity ip hono <br /> .� � � / <br /> � ��'� C � �n n�i �: a .1_ 1'C� � �i��-I' <br /> . ectn ca Lontractor Mai dtlress Cy p_ hone icnnse tl <br /> ���J� `-z�:% .� r� . <br /> ZontrecC Rn ce o Wor � -�� roposed su o uilJ�ng <br /> l'� � U (�L`��1� I' ��t o �� � �?� � r� �'���. �- rC � ����� <br /> ro�ect Ad r� ess <br /> iscnption ot 'Nark o Be �one: _ � , <br /> ��-� �' l i_J �C � �� J �� �\� � � �l )'�`�lQ ��l.l 1,1� i �C.�� __!_ ��� (�'�<' � �� <br /> \ <br /> NOTE: WAC 296-46-140 REOUIRES THRT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTFI CARE FACILITtES <br /> OE APPROVED BY ?IIE STATE OF WASHINCTON. APPLICANTS W1T11 SUCH J005 I9UST SfIUH THE STATE APPROVED PLANS OEFORE A <br /> CITY OF EVE(iETT PERFIIT WILL E3E ISSIIED. <br /> NOTE: WIRINC IN NOH-DWELLIIlGS IS REpU1RED TO DE IN 11ETAL RACEWAYS. <br /> I HEFiEBY CEflTIFY THAT I HAVE PEAO AND EXAMINED THIS <br /> APPLICATION AND i(NOW T{1E SAME TO BE- TRUE ANU COARECT.ALL <br /> PflOVISIONS OP LAWS AND ORDINANCES GOVEIiNING THIS TYPE OF �. <br /> WORK 6VILL BE COMPLETED WITH WHETHER SPECIfIED HEREIN OR <br /> NOT. THE GHANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> A'1THOflITY TO VIOLATE OR CANCEL THG PROVISIONS OF ANY � <br /> OTHER STATE OR LOC�I_LAW R[GULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHOHIZED�Y THE _ �. �.���., <br /> ON'NER OF THIS PROPERTY TO PEFiFOFlM THE WORK FOfl WHICH FEE ' � J <br /> APPLICATION IS MADE AND i COMPLY WITIi THE STATe <br /> CONTFACTOflS LAW ttl.27 RCW ANU 296.200 WAC. <br /> X � � . ; � ti � ` .' `��19/�) <br /> Signature Oate <br /> LIl ,/`. J. , j� . <br /> �� / <br /> .- -.- _ _' _ _ _ s_�'l"�C�-.: - .. _ . <br />