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�4��'�.1���I�IL .� F�`'�e a �:�.�_�:v�!�l��,P� F _��fa9�' <br /> �r� <br /> ��x CITYOF \._`.• <br /> ;y� evQr�#t �� <br /> r �� BUIL�ING DEPA!�TME�JT x��7r-.y�� <br /> H �-y�•- <br /> � z n 259�a010 �_� <br /> ��:-' <br /> O ."".O <br /> '�J F+'7 <br /> V1 H <br /> x r3� � <br />� [�1 O LT1 � - . '` <br /> � ` \I� F�rr�� : � �:c�� Li�`� a�e 't 'Xc�� ._ r� ;, l� �.'l��i'_-!� ) ;? o� .: � `y0 <br />� Ij C Owncr Iloil ndtlrc55 ity L�p f'hone <br />' � o C I i'� Place � r. c � � �1Rzd1 <br /> I H L�7 O enanC Mail ddress �ty ip Phone <br /> �V � <br />' H <br /> zt-+ ����1 --`��`F't�—�r 0 ��c [ �/28 Ge/rr � l '=i70iG �7�(� � �1, 3�'�� io � k��:l.2e��/�., <br />' L,ay y z ectr�ca lonCracto MatTi��dress l�ty � tp hone Ltcense 7 <br />! r-i H <br /> d � ropo.e� Use ot ui ding <br />� O H m�Cruc[ n ce at Work <br />' CC], C7 V� <br /> R] �CriJ ro�^ct Atldress <br />�� Z H C/� <br /> HOm � S.+ �IG1C �Yer��l� lrA 5'$7-� l <br /> iscription ot 'Sork o t3e Uone: <br /> zcU A�rP SF�, — <br /> �—, �� uc 4� !�� 11 ����- OX <br /> � <br /> '�� -- <br /> �►r ' <br /> '�� GOTE: 'dAC 296-46-140 REOUIRES THAT PL\NS FOR ELECTRICAL WORK AT EDCG�TIU!lAl., It15�liUilOtUL OR He'ALTH CARE FACILITIES <br /> ��� �E APPROVED 0Y THE STATE OF NASHINGTOtl. APPLIG1tlTS 'dITi1 SL'CII JOi35 ItU�i SiN'd LIIF 51AiE ANPROVED PLiAt15 OEFORE d <br /> CITY OF EV[RETT PERMIT WILL BE ISSUFO. <br /> _�.- tIUTE: WIRItlL IH flOH-D'dELLRlGS IS REOUIRED TO !3E If! 14ET�iL RdCE'nFYS. <br /> �� <br /> '�� I HEFEBY CERTiFY THAT I HAVE NEAD AND EXAfdI1JED THI� <br /> _'� APPUCATION AND KNOW TNE SAME TO UE TRl1[AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND OR�If1At1CC-5 GOVLRNING TIiIS TYPE OF � <br /> WORK WILL OE COIAPLETflD WITH WHETHEFI SPECIFlED HC-R[IN OR �� <br /> � NOT. THE GFlANTIf1G OF A PERtd1T DO[S NOT PRGSUME TO GIV[ . <br /> � ' AUTHOIlITY TO VIOLATE OR CANCEL TH[ PFlOVISIONS OF ANY <br /> OTHEfl STATE OR LOCAL I.AW REGULl+TING CONSTRl1CT10N OR THE � <br /> PERFOFlMANCE OF CONSTRUCTION. THAT I Ald AUTHORIZEO BY THE �' �� <br /> OWNER OF THIS PROPERTY TO PERFOFlPA THE WORK FOR WHICH FE[ <br /> � APPLICATION IS MADE AND I COh1PLY WITIi THE STATE <br /> '�� ' CONTRACTORS I.AW 7827 RCW ANU 296.200 WAC. <br /> X '�� _ ,�� i � / � <br /> /' /,!� ''_�//�'-i:,i. /_- <br /> ��i/;-' `/-� "_ ', <br /> Si9naturo �''�'' � <br /> ��� - ? / � ���- <br /> � � � � <br />� t s�— ,_ _ __ . <br /> , n <br /> � i: a` . <br /> ��-: <br /> J �,. � <br /> 9!'��,���ye��� . #? � - ,� -,.� <br /> M�r.a _rs�i^krT`Fi1�-1^.k .� /i �. , � ' `.:.- M ^ ...� � �.,. 7� °r . ' � , ' . .. y.,�.� .'ng� rs�..ny,^�-�••�-,�;;,,.ti , - <br /> i � . � <br /> � ._ ... ' .�.4 . <br /> ..,� ' .I .�. , ..� �....... r'� ..:i .. .q�.Y h R��.: �^" � . <br /> 1.y�y I _ '^� <br /> '1Y__'L�'i_�Jr^_�LTl��'_- -�����uY UA'. . . _ . . . I �.... . . . . .. . .��4e. . . . <br />