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� � � ���1� APPLICATIC. : FOR ELECTRICAL P: ��IT <br /> �' M <br /> 7 H N <br /> � <br /> y H <br /> � y � CittOF <br /> � N M eVer?�t <br /> z � <br /> BUILDIPIG DEPARTMENT <br /> ro Qy 259•8010 <br /> O M <br /> z n o <br /> H [V O <br /> ��-1 , � --.. <br /> z � � ,,. =�k � 3 % 7D <br /> � `� z �Ilt_L� � Cf�l��.`� �1'/C��E✓I.�rl%tR"�C 1 ;1 2c�� ��1�� Z-L� /��7D�-- �c� � <br /> � hone <br /> ty y y Uwner Hai Adaress �Y P <br /> O M <br /> n C �1 hona <br /> �i Etlress �CY 'P �/� / 11 QO� <br /> � [5 !'� lenanC ' �('!I.n�l� � r <br /> z� � ec� z�i�� ��� t�i�x L �l�� S �� �n��t��e�r�c� i ko3�. 77�-3855 � <br /> � 0 � hone <br /> ectnca lon[ractor Mai tlaress ��Y � �P <br /> ���G (.f: 1� 11)�ILi "7 =.�. .- '�. :- <br /> �U• ropa.ed se � ui ding <br /> onCruct n cc o War <br /> �p�' �// o' �L �c<.: � e ar=T - <br /> ro�^ct ACdress <br /> >r:- i cni �c � il�zc. � }e,Wt- ,, t�c�L.t= �s�•r � ,� <br /> iscription ot 'Nork o Be �on : <br /> I��� I <br /> .��1 <br /> I o_ <br /> ��p7E; WqC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EOUCATIOIIAI, INSTITUTIONAL OR NEALTH CARE FACILITIES <br /> eI pE pppftOVED OY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH J005 11115T SHOH THE STATE APPFOVED PL1N5 OEFORE A <br /> . G TY OF EVERETT PERMIi WILL �E ISSUED. i <br /> � IIOTE: WIRItIG III IION-0WELLIIlGS IS HEOUI!;ED i0 OC Itl F!ETAL RACPdAYS. i <br /> I � <br /> � <br /> � HEFE�Y CERTIFY THAT I 4AVE FlEAD AND flXAh11NEU THIS <br /> D�ro � APPLICATI01'1 nND KNOW THE SAME TO BE TFUE AND COIlRECT.AL_ <br /> � PROVISIONS Ci'LAW3 ANL�ORDIN�NCES GOVERNING TFUS NPE O� <br /> WORK WILL BE COL,�'LETED WITH WHETHER SPECIFIC-U HEREIN OR <br /> NOT. THE G�ANTIN(i OF A PERIdiT DOES NOT PRESUTA[TO GIVE <br /> AUTHORIT�TO VIOLATE OR CANCEL THE PROVISIONS OF AN'f <br /> OTHER ST OR LOC�L LAW REGULATI^1G CONSTRUCTION OR THE <br /> � D ��I PEPFOP�d CE OF CONSTRUCTION.THAT I AM AUTHOR!ZED BY THE :1�� ��` <br /> e OWNER O THIS PROPERN TO PERFORM THE WORK FOfl WHICH FEE .� � � • <br /> �� � CONTRACTO$'�wM�2�RCW AND 296.OO WAC. IT�� THE STATE <br /> 1 � <br /> 1 � / , <br /> � � ��i �� �'� <br /> � � ;�' ;� ��'J�_. /i> <br /> Sig�a[ura <br /> oac� <br /> � '7/, S � <br />