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-_ _ _ ____._ <br /> APPLICAT.JN FOR ELECTRICAL , cRMIT <br /> cin oF <br /> evQre�t <br /> BUiLDING DEPARTMENT ; <br /> 259•BB10 <br /> � <br /> �A11� �Jrrnv�� 3:JUt�crr��4< <c.� I�✓Lnue L '}2vu Jn����4 Usi�z. CzoL� 'i�fi-�ti`+U <br /> Onner 1lairddress � t� Zip hone <br /> enant ai tl ress ity �p hono <br /> �o�1c�c` �clec4r\c`1nc i EC�L '" �'�kk�E ��(o �S <br /> . ectr•ca Luntractor Mail Adtlress '�ity p hone �cL' ense p <br /> JPng� �k�2m����� S�UnG� <br /> oZ n[r:.c�tce o Wor ro osea Use of �u�lsin <br /> �a �`� �(-0�=�- �lc.c e <br /> To�:ct Addrass <br /> l��scription o 'tlork o de Done: <br /> _ �UU {�h^�� �Cw..�. �GL�t' ����Z'. <br /> NOTE: WAC 296-4G-140 REOUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> OE APPftOVED BY THE STATE Of HASf11NCTON, APPLICANTS WITH SUCH JODS MUST StIOH THE STATE APPflOVED PLANS �EFORE A <br /> CiTY OF EVER�TT PERMIT WILL OE ISSUED. <br /> I�OTE: NIRINC IN NON-DWELLINGS IS REpUIRED TO �E IN METAL RACEWAYS. <br /> I NEflEBY CERTIFY THAT I HAYE READ AND EXAMINED THIS � <br /> APPLICATION AND KNOW THG SAME TO BE TRUE AND CORRECT.ALL <br /> PflOVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK YVILL BE COMPLETED WITH WHETNER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT OOES NOT PRESUME TO G�VE <br /> AUTHORITY TO VIOLATE OR CANCEL THG PROVISIONS OF ANY <br /> OTHER STATE Ofl LOCAL LAW REGUI.nTING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. THAT I AM AUTNORIZED BY THE <br /> OWNER Of THIS PROPE.RTY TO PERFORM THE WORK fOfl WHICH FEE � Z�J .UCJ <br /> APPLICATION IS MAD� AND I COMPLY WITH THE STATE <br /> CONTRACTOflS 1�1W 1827 RCW AND 296.200 WAC. <br /> X , <br /> ' � ' �� �J� �G ��k,�� <br /> � , <br /> �. 1�. � � �.�� � � i�, <br /> Signatura � Date <br /> ����Cl/ <br /> �;.. . -. - , _ —. . �- .�,�- y .>}n.� -,r! -�:y.•,_ _4..... :. r1'�..:,d�X��'� �"� <br /> w:..� 5kls�*jF€(Y'+A�}s kx-'3s�SC'f�.. }f �'. <br /> � _.�+�`q�e,•n, " � - . \ TfcY. r �. ...:, <br /> ._ �, '_'.. . , .-..f . . <br /> .. __ .�,.:- . . . . ,...> . . <br /> _ . . . .. ,__ . . .. , ... <br /> � . �.:'��— ='._�..:,�. .. .. ___—a':......:..xa.a�u.rr.eF.i� .. -, � . �,.., <br />