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�.0� : <br /> � a <br /> i ; <br /> , <br /> a.�, <br /> ��� <br /> � <br /> � <br /> � <br /> ,,,��,�,5 ' <br /> APPLICAT��N FOR ELECTRlC:AL � cRfVIIT <br /> cin or �� <br /> �Vtf 2#� <br /> BUILDING DEFARTMENT . <br /> 259-8810 <br /> �g��Eaame� �a0f Atlares. Ai — QLOUCY� naJ.l�e P�IUL vLoL) 3ZFi 3�'�u <br /> enanc a� aJress ity ip nanv <br /> �_ <br /> Y,.;��p �.\ �k;c_ ..�4o�ye. ��1ZR Lynnwo�t 48�3(� (7�G)a��-�s5� �o�,k�e� �nu�s <br /> , E c cncT�oncraccor na� aareT"� an t—tT—Z� —Fnone Z'i<ense o <br /> � 3 z� �sz� S F� <br /> anVa t nce o Wor c� ropose�c a�iT�ng <br /> �„�c�cin��,d4 �h��3� - �3\ �}[�1�" Y�ac� r.verea-4 uJa �iBLol <br /> �eee aaaress - <br /> C�sctiptlon ot lVorF o tlu one: <br /> w�o.,� 2ooa..,� S�.-,�1� `�:�.,:�\, `Ls�.oH.�, <br /> tlOTE: NhC 296-46-140 REOUIRES TMAT PL1tl5 FOR ELECTRICAL MORK AT EOIICATIOtIAL� 1115i1?IITIONAL OF HEALTM CTRE FACILIilES <br /> DE MPf10VE0 B7 THE STATE OF NASIIINCT016 APPLICANTS MIT11 SUCH J005 NUST SHoa iHE S7ATE APP(IOVED PLAIIi OEFJRE T <br /> CIiY OF EVEIiETT PEflMIT MILL OE ISSUED. <br /> tIOTEr NIfiIHC 111 N�N-OwELLRILS IS FEpUIRCD 70 OE IH NETAL RFCEWAYS. <br /> I HERE�Y CERTIFV TMAT I tiAVE REAO ANO E�A1AlIJED THIS <br /> APPUCATION AND NNOW THE SAME TO BL TRUE ANU CORRECL ALL <br /> PROVISIONS OF LAWS AND Of1�INn�lCES GOVEFNIM1G TMIS TYPE OF <br /> YIOfiK WILL BE COIAPLETEO WITH WHLTHEfI SPECIPIED NEREIN Ofi <br /> NOT.THE GRntITING OF A PERtdIT OOES NOf PRESUh1[TO GIVE <br /> AUTHORITV TO VIOLATE Ofl CANCEL TME PROVISIONS Of ANY <br /> OTHEii STATE OR LOCAL LAW REGULATWG CONSTflUCTIGN OR TME <br /> PERFORMANCE OF CONSTflUCT10N.THAT I Ahl AUiHOfiIZEO BY Tl1E <br /> OWNER OF THIS PflOPERTV TO PGRPORIA THE YlORH f017\YHICH FEE ��l�j� <br /> APPUCATION IS MADE AND I COIdPLY WITII �IIE STATE <br /> CONTRACTORS I.AW 1027 RCW AND 2^,i^.00 WAC. <br /> X Gca..� Sy ��'� � ��,� <br /> �. � Acl. '�L/7 2— <br /> Signature� �a[c <br /> _ -- <br /> -„->..u_... _...,:'_;.r:<:,.:t..>�a:;.>:=-?r^E�x9��, <br />