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APPLICA�ON FOR ELECTRICAi PERMIT <br /> � � Ct ����� / CITY oF EVFHEff <br /> (/� l BUIIDINC OIVISION <br /> / /' 1i'� cl `,�'/U�5 �� /./a' � 3200 CEDM STREET <br /> 259-8870 <br /> �l��yripq �V `' �p a I�I ��, '��`- everserr, rn 9azoi <br /> �Q. Y�(.1CT� —C�/�SGADE LE1/TRL S9�Z0 �C`✓E,QFj,eEE�VCrJwY .0 uT 1�/R 9�'aoi <br /> �nner —FTal Ooress C7ty 5[ate/Zip —Phone <br /> ,l�i� <br /> enant a i rcss <br /> ity tate p hone <br /> aSs-3(�S <br /> ,Sa.��r�2acArc�Fic aaa� ��rc �fo,eN,.� A�E E✓T �(/A 4�oi SO�1tTEi�9ritiJa <br /> e t ont C[ dG e s ty tat /Zip—��Sc t c e . <br /> --�y�- <br /> iarttract �—{ce ol' or roposeC se o u� ding <br /> ._�i9�O �(/���,PEFit/ a)AS� -vi IA/�} 7na.20� <br /> Fro�ect tlEross <br /> Discriptfon of Nark To Be Done: /��GC�VOGT/j�j� �llP Gi}� �C/t�/H-• <br /> NOTE: WAC 296•46-140 REOUIRES THAT PLANS FOR ELECTRICAI. WURK AT E�UCATIONFL� INSTITUTIONAL OR NEALTH CARE FACILITIES <br /> BE APPROVED BY THE STATE OF NASHINCTON. APPLICPNTS WITH SUCH JOBS MUST SHOM THE STATE APPROVED PLpNS 9EFORE A <br /> CITY OF EVEREiT PERMIT WILL 0E ISSUE�. . <br /> NOTE: WIftING IN NON-DNELLINf,S IS FEpUIFEO TO BE IN CONUUIT. <br /> I HEREBY CERTIFY THAT I HAVE REAO AND'E%AMINED THIS <br /> APPLICATION ANO HNOW THE SAME TO BE TRUE AND COflRECT.ALL <br /> PflOVISIONS OF LAWS AND ORDINANCES GOVERNING TiIS TYPE OF <br /> WOPK WILL BE COMPLEiED WITH WHETHEfl SPEqFIEO HEREIN OR <br /> NOT.TH[GFANTING OF A PEflMIT DOES NOT PflESUME TO GIVE <br /> AUiHOflITV TO VIOLATE Ofl CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL UW REGUUTING CON5TRUCTIUN OR iH'c <br /> PERFORMANCE OF CONSTflUCTION.iHAT I AM AUfHORIZED BY 7HE T <br /> OWNEH OF THIS PROPERTY TO PEP.FORM THE WOFK FOR WFiICH FEE J(� <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE ' <br /> LONTRACTORS LAW 1827 RCW ANp 296.200 WAC. <br /> � � �'`i.-n.�--� 7���73 `-1/3/ 7 <br /> signae e - oate <br /> � <br />