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� � <br /> ��H <br /> �,y AP'�LICATIC���A Ft�R ELE�Ti I�;f�L acR��il� <br /> i .�`"� <br /> S�H V� <br /> H �� '� <br />� ` Hx ever��� � <br /> '� �''� SUILDING DEPARTMENT � <br /> H �t' ?59-881 G � � <br />` � H�G � • <br /> i OH <br /> I � ��c. —_ <br /> I �� � n�� ,. +�,•,�.•� ��,�n La�tic�ke fve E �M Seal-He� ct`610a <br /> z H� U'"�ne�1 Ma� l Address 6�ty Z�p Nhnnc <br /> '� yz <br />� H�-3 p���� Mail Aadress 6ity ip Fhone <br /> l� iJ � <br /> o ec~n ^��y;,,2,�;�,-.l-'k �� O(,� �x Id-l�� ��mnmuX� G`66 (�ho�55 �kkl=T�� �IDC7`� <br />� � C�� Elec��ical 6ontrx Cor Mail Add�ess y p '�---- �cense X <br /> ti1 <br /> zHm __ �lkl 0 �tlM� f�ICIPYI <br /> y p fn iontract n ce a 'Nor Propose U•e ot ui A�ng <br /> -T� IS -1-v2.r�-V-F _ <br />� Fro)ect Address <br /> . � �iscription of 'Nork io Be �one: ^,\ �u <br /> I '�Yn� 1' C�' — A�'ti�:y� <br /> � <br /> � s� <br /> �� <br /> II �_ <br />" E.:.:,,o,l . <br />! tIOTE: WAC 296-46-140 REOUIRES THAT PlANS FOR ELECTRI_.�L WORK AT EDOCATIOIIAL� IIi`�iliuTlORhL OR HEALTH CARE FACILITIES <br /> BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH J005 4UST 51�U��� iHE STA7E APPROVED FL1t7S 6EFORE A <br />� ��' CI7Y OF E9ERETT PERHIT WILL BE ISSUED. <br />' IIOTE: 'NIRING Itl N011-DWELLI�IGS IS REOUIRED TO BE R� 11ETAL RACEWAYS. <br /> � �1 <br /> i' <br />� � m. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS _.�' } <br /> � I APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL �i���� <br /> PROVISIONS OF LAWS AN�GRDINANCES GO'��fRNiNG THIS NPE OF <br /> WORK WILI BE COMPLETED WITH WHETHEF ::PECIFI[D NEREIN OF <br /> NOT. THE GRANTING OF A PEFMIT OOBF NOT PRESUtdE TO GIVE <br />� � '� AUTHORITY TO VIOI.ATE Ofl CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERfOF1AANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE C Q C.� <br /> � OWNER OF THIS PROPERTY TO PER�OFM THE WOFK FOR WHIChI FE[ _�J __ <br /> APPLICATION IS MADE ANO I COMPLY WITH THE STATE , <br /> CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br /> - �71J �� <br /> �ign re U.it <br />