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' <br />�� y�� APPLI�ATI(�i� F���s �L��`i RI�a��E� ��Rii�il� <br /> �in� <br /> a� <br /> ��H <br /> ayv� �,;,�� -� <br /> rx <br /> " eV2re�"t <br /> y ZH <br /> ''� n 9UILDING DEPART�IENT I <br /> ,o� H,o� 's�-a��o , <br /> CA N I <br /> z <br /> r�3- o� <br /> Hl7 <br /> Or-� � )[����t�l1lF"_. <")q(� �Crllnl� ' /h,Pt �t . :C7 `rr'� I��f Ci�_�1� � ��,�:- '��I' �C', <br /> �/� [�x]p Gvner Ya�l Ad.lr.ss City np Vhonr, <br /> y�V C] <br /> H <br /> zy H Tenant Mai ��ddres; lity ip Phone <br /> rHy �,1.1���F�+lnn ��nr ll iX �[C�� VV111U.VY`(� ����p �1l -� ' S � �� ��I �ly�. <br /> Q y H <br /> ec[nca l.ontractar t�a� d. _s, �t� hone �cense i <br /> �C, d�"N ,���C� � �iirft Fnt��i f,c� � cl�iYc° . <br /> 3 C<1m Contr— act P�ice o 'Nor raposc sc or ui i g <br /> z �N �'31 �I4St �I LVFYCJH - <br /> Project Atldress <br /> �.!i;criptian of tlork �o NC Uanr; � <br /> -, (1._)� re `-� � � ����r Le �ru��1�L7 �l�c-Y��cic�vu e <br /> °�rn t-1 ��,n ���� v ic c <br /> ��,�j — <br /> �� <br /> 1�'�'j <br /> �� <br /> ;IOTE: WAC 296-46-140 ftEOUIRES THAT PLAIlS FOR ELECTRICAL WORK AT E�UCAiIONAL� INSTITUTI01lAL OR HEALTH CARE FAU LITIES �. <br /> BE APPROVED 6Y THE STATE OF 'tlASHRIGTOtl. APPLICANTS WITH SUCH J0�5 HUST SNO'd THE STATE APPftOVEO PLANS BEFORE A I <br /> '�� CI7Y OF EVERETT PERHIT 'AILL DE ISSUEU. , <br /> � tIOTE: 'NIR1�7G IN NON-DWELLIRGS IS REOUIRE� 10 �F I11 IiETAL RAC�47AY5. <br /> '�t'� � <br /> I HEREBY CERTIFY THAT I HAVE READ AND F!(AMINED THIS � <br /> APPLICATION AND KNOW THE SAME TO OE Ti7UE ANU CORRECT.ALL I � <br /> � PROVISIONS OF LAWS AP:D ORDINANCES GOVERNRdG THIS IYPE OF i <br /> �I� WORK WILL BE COIAPLFiED WITH WHETHER SPECIFIED HEREIN OR . <br /> NOT. THE GPANTING 'JF A PERMIT DOES NOT PRESUh1E TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY � , <br /> I`'� PEflFORMANCE OF COP S RUGT ON.�TH TG AM AUTHORIZOED BY THE I <br /> OWNEfl OF THIS PROPERTY TO PEflFGRM THE WORK FOF WHICH FEE ��S �� i <br /> APPUCATION IS IdADE AND I CO�dPLV WI7H THE STATE <br /> � CONTRACTORS LAW 10.27 PCW AND 296.200�VAC. <br /> X �� 1( � / \/� `�-1�--�I�- ' . ' - . <br /> Sign� rc Date ' <br /> ,` . . . . _ � . . <br />