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�PPLICATf_N FOR ELECTRICAL , �Rf�IT <br /> y��� <br /> xr�y <br /> r•i c� i <br /> m�x cever�#� �I <br /> r x>�' BUILDING DEPARTMENT '77' <br /> H z H 259-0810 , <br /> �C c� <br /> y 7� <br /> y �� � - � ��,', ,' � � � r;�� i '��!'� �- �cf-1�f-�.0 ����I ����,-1 �7J�i ��7/, � <br /> '.x Z� � ).'-1/_ (,�� /1:'. �)1 - ' � hone � , <br /> � y� O�mer � Plai �Addre,s � Clty —Ztp <br /> � nb ai Odress ity ip hone �I <br /> H Ci7 O <br /> cnant <br /> HV Cna. vIKK/� (.LL-=tTi�1� / L � none icenee x <br /> yy�j cctr ca lontractor Na� dGress ��Y �P _ <br /> � Hy �'j � /. C�� �� i c �� —1=- � ,� . '==��c� ` f '_ h1GC-= <br /> on trac t n c e o W o r roposed se o ui Uing � <br /> ��" dC,� 7�� -yi �='T �"'L � o r z i <br /> � 3 C*1� ro�ect AGdress � <br /> z � <br /> yom 1�1c.�v �_f)G� f=� ,_. ; �,t��t.i, 'r'�� c= <br /> Ji;cripCion or 'Nork a Be one: <br /> � <br /> ( <br /> �� ' <br /> �_� t70TE: WAC 29G-46-140 REOUIRES THAT PLhNS FOR ELECTR�CAL WORK AT EDUCAT1017AL, It75TITUTIONAL OR HEALTH CARE FACILIT!ES <br /> !, CITYrOF�EVERETT�PEFIIITTWILI �ES'ISSIIED" '�!'PLICAl1TS WI1Vi SUCH J0�5 HUST SI10H THE STATE APPROVED PLANS BEfORE A <br /> NOTE: WIRIt7G I11 t70N-D'dELUIlGS IS REOUIRED TO DE IN NEiAI RACEWAYS. <br /> e� ' <br /> �0�r <br /> I HEREBY �ERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AN�KNOW THE SAIAE TO BE TPUE AND CORFECL ALL <br /> �' PfiOVISIGNS OF LAWS AND OFDINANC[S GOVEHNItJG THIS TYPE OF <br /> WOflK WILL �E COMPLETED WITH WHETHER SPEGFlED HEREIN OR <br /> NOT. THE GRANTING OF A PERIAIT DOES NOT PfiESUME TO GIVE <br /> 7 AUTHOFIITY TO VIOLATE OR CANCEL TNE PROVISIONS OF ANY - <br /> 'pI� OTHER STATE OF LOCAL V�W REGULATING CONSTRUCTION ON THE �, <br /> PcRFORMANCF OF LOVSTRUCTION.THAT I AM AUTHOFIZED BY THE '��-" C`�'___ <br /> OWNEfi OF THIS PROPERN TO PERFOFlM THE WOFlK FOR NIHICH FEE . ) . � . <br /> �PPLICATION IS M�DE AI�O I COA1PlY WITH THE STATE <br /> 0�'�' CONTRACT01iS LAW 10.27 RCW AND 296.200 WAC. �. <br /> X l ,� ' � � <br /> � . �/ f //u� %, ��1 �� <br /> , � _ <br /> Si9na ura �ate �J � <br /> � <br /> I <br /> ` <br /> i <br /> � <br /> I <br />