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�h� L� APPLICATI�lV FOR ELECI RICAL f�E=��6c��V� <br /> ay � <br /> ,o�x <br /> C,' H <br /> ayv� <br /> �1_ <br /> y �H ciTvoF .} <br /> � H� �VQr�l� <br /> � H� BUILDING DEPART�dENT ! <br /> � N t~., 259-8810 <br /> �� o� '' ` <br /> H C7 <br /> i � � <br /> z o o � .3�S�c � l�-w. ��. .el�azf� :�.. ; . t , , <br /> , <br /> r+ r�o .��l�c. 1����,1� �a,<f�_�-e, <br /> 'n` n Hail Address City ip Phone � <br /> � H� Owner <br /> � hone '� � <br /> r F.-�y enant Nai 1 ddress/J /� �ry p / G b — <br /> �" �ci�aw. 1� 7 /.�P � UJ��3' t :l C� !L�G . ��OJ' '. 'I7G' -.�SS <br /> �0,� �� ��f-/{c.��C(� l.tF'r5'!iL � hone icense x <br /> � �� ectn ca lontractor Mai tldress �Y P <br /> ���� � 7� ' roposed se o ui ding <br /> yQ� tontract r�ce o '�'a� <br /> G'dd �-//,� �� � Q.T ,� <br /> ro]ect Pddress �/� <br /> X✓/ Zti G'N-C.lL:C ��/C,G�'./ — � , ��.J2,._l '%,e, ,GC/ <br /> iscription 'Nor o tle on '' <br /> —�` i <br /> e'@ � <br /> i �� <br /> I� �` �� <br /> A-_ � <br />� NOTE: BECAPPROVED�BY T{EJiTATEi0FT1VASfirINGTON.EL�PPLICANTS WITIiTSU�CHCJ005N1115T15110WTTHE STATERAPPftOVEDCPLANSn�EFOREEA <br /> ��, CItY OF EVERcTT PERMIT 'dILL BE ISSUED. <br /> HOTE: WIRItIG It7 NOtI-DWELLR7G5 IS REOUIRED TO �E RI h1ETAL NACf_Yb\Y5. <br /> ����� <br /> I HEREBY CERTIFY THAT � HAVE READ AND EXAMINED THIS <br /> "a"v ApPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECL ALL <br /> ;� � PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> Y�ORK WILI BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRAN7ING OF A PERIAIT OOES NOT PRESUh1E TO GIVE <br /> AUTViORiTY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> � `� OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE �,},, \ , ,__ <br /> PERFORMANCE OF CONSTRUCTION.TNAT I FM AUTHOFIZE�BY THE <br /> �ppLICAOTFONISISRMADE ANDPERCOMP YH W�OHKT ER STATE f[E _ <br /> CONTRACTORS LAW 78.27 HCW�N�296.200 WAC. <br /> X�._�_,�;'j�._y�� �-�. � %G��[l�l�, J�'�-,-- <br /> Signature <br /> o.,cc <br /> I <br /> � � <br /> � <br /> r <br /> _.��3�1'Ai . <br /> . w.s:.. <br />