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APPLICATI.,M FOR ELECTRICAL ► �RMIT <br /> citv aF <br /> evere�-t <br /> BUILDING DEPARTMENT ' <br /> 2:i9•�Ei10 <br /> . . � - � I i_�%�0_� �::'ri� �,�% � � -� Y�� <br /> �'�'�� ���� �:r�� , .I�i�� ����;lu�'� �'�.,�,r, i �''.��.c, . �c -.�_ i� <br /> Onner 11ai Address ty ip Phonc <br /> cr�:aC ai ddress ity ip hone <br /> .1 i C� '- 1 �- �C �_ (1C \ ` ( ��t- <br /> , ectrica lontractor Mai ddress ity ip hone �canse N <br /> � ontruct n ca o Wor roposed se o u� J�ng <br /> `.� � � tII'� ��.�C.CC � �k:�4. .� <br /> ro,7�ct Address <br /> iscription o 'dork o de Oone: . 1 <br /> � 7 rti� }� � l" rl'- '� � \�JC�\���( ,C�1 � <br /> NOTE: WAC 296-46-140 REOUIIIES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> OE APPROVED �Y TYIE STATE Of NASHINCTON. APPLICANTS NITN SUCH J0�5 t1U5T StIOW TFIE STATE �1P1'fiOVED PL1N5 DEFORE A <br /> CIiY OF EVEftETT PERMIT WILL BE ISSUED. <br /> � NOTE: WIRING IN NON-�WELLINGS IS REpUIflED TO �E IN METAL RACEWAYS. <br /> 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS , <br /> APPLICP.TION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> WOFlKSWILL ErCOMPLETE�O WIDTH WHETHERVSPECNFIED HE E N OR <br /> � NOT. THE GFlANTING OF A PERMIT DOES NOT PFESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THG PROVIStONS OF ANY <br /> OTHER STATE OR LOCAL U1W REGULATING CONSTRUCTION Ofl THE / )` ���, <br /> pERFOfiMANCE OF CONSTRUCTION.THAT I AM AUTHORI2ED BY THE `�`'� <br /> AOPPLICOIONISSRMADE ANDPERCOMP Y� WITHKT ERSTATE FEE �'�-�- ._ <br /> CONTflACTORS LAW 1827 RCW AND 29G200 WAC. . <br /> r, <br /> � �� -�1 . cc-°_ <br /> XV � C ,. C ���-��ti9�L�� VA4�J+ �l i � � <br /> SignaEure Da e <br /> �I� `-��° . <br /> � <br /> � - -- - _ ��. �. � �� - <br /> ,,_ � � , aS <br /> �� .. ..� �.,g•-�r _ __ .-:,.r -�u•.t„�..a�"r;+..'��\:-\'Ma ; ��ia '4e� ,n�t�.�`a;,,':.,�"f�'��f$ h'",rt�� <br /> � -w/'! / !� l.�K, <br /> •� � .r_ .: . . �. �. .�.��.'�.��p4�''����`.Fr..r - "+,",'_ ,_.l ./ <br /> ._ �.....^,�ryf� J�'4 ' �;:i' +G�.�a.v.�'a ��. 2}L>+. 5.�V+ <br /> � _"�.... . j��w:f�vs . . ..:.,.,,<<�_. ...y..v V\a-.rv:dJi.._.._ .. .- .. .. <br /> � � vSaA+� •.. f .. . . .. . . _ . ._ . _ . '. _ <br /> ..,i . . .__ ...... <� . -�. <br /> '._.'� rW . . - ,.. ... . . .. .. - <br /> .. veM""t _..; , -_.. <br /> _. , -. ...r .� _ ., <br /> � <br /> -- .:» ....r :: <br /> a:.r.... -::Y . _....«.i✓'I c , '�.-„" �.��' _"��'_ . .. . . . -.. ... <br />