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I I 1 / � <br /> V � � <br /> i <br /> �1 API'LICATION POR GI.EC1'RICAL YLR111PC <br /> lTl h7� CITY OF GVERETT <br /> p�jx BUILDING DIVISION � <br /> �"' 32W CGDAR STRBHT <br /> H�� FVERETI', WA 96201 <br /> y �-+ <br /> i< H'.'�0 � <br /> yy� �ILI�'��L�'/�/ ��7-3.� I_�a�� "1� 4..�IZ1'CL I ! �l �- �J� .i S�L •�45�" �I� <br /> � _p� Owner Mail AJdress Ci�y Slate/Zip Phone �� <br /> H C7 <br /> O H <br /> � �8 <br /> Ll� C� Tenant Meil AJdress Cily SlatelZip Phnoe <br /> H <br /> ��y �y i;�C� L��;c I�;acX i-�� ► ��l�N�:c�,l� ��4 �%����/lz 7�i-��i13 U��.s1��7����.1e� <br /> ,�, y H Hlectrical Controctor Mnil AJdrccs Cily Stale/Zip Phone Slate License No. <br /> 2 �W <br /> � � <br /> �t��� .-� js LiL�`� 1��(DL 7�/c7i-�L <br /> ytn Cunhxct Price o(Work proposu!Use o(BuilJing <br /> HO[n ` �, I/ 1 <br /> �l� �� �J�7 0. ��12 -{��� ' <br /> .. Project AJJresti <br /> ' i• <br /> � ' � i. � Z��' ;����. .� `�� �C;��. G{-�����c cTSr. <br /> De.ceriplion o(Work to Be Uone: •� <br /> � .�I ,�. � l��_ 1JU�.T`l�Nn� E'LI��LE �� <br /> i" j ��w� 'tv131; .a`��> I� r�� .� J � ,(�,� �,� �D�. fi�� � � � 2.�1� <br /> _ I 1:ic I.�C lJ� L� � I�r �'-T �'I �f(�.1� <br /> 4 '� NOTG:WAC 296-0G-140 REpUiRGS THAT PLANS FOR GLE(TRICAL WORK AT EDUCATIONAL, :NSTITUTIONAL OR <br /> HGALTH CARG FACIL.ITIGS UG APPROVED OY THG STATE OF WASHINGTON. APPLICANTS WITH SUCH JOOS <br /> MUST SHOW THG STATE APPROVGD PLANS DGFORG CITY OF LVc^RET PGRMIT WILL DE ISSUED. <br /> 1 � <br /> � " NOTE:WIRING IN NON-DWGI.LING� 'S Rt:C'Uli ED TO OH IN METAI.L C RACEWAYS (MC AND AC, ARE CAULES, <br /> NOT RACEWAYS). <br /> � �+� 1 HERGBY CERTIPY TIIAT I IIAVB READ AND EXAMINL•D THI:APPLICATION AND KNOW THG SAMG TO f3G TRUG <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND OItDINAPJC[:S Gi)VEHNING THIS TYPG OF WORK WII L BE <br /> COMPLETfD WITH WH[TFIGR SPGCIFIGD HGREIN OR NOT. 9'HG GRAN7'ING OP A PGRMIT DOES NOT PR[SUME <br /> TO GIV�i pUTHORITY TO VIOLATE UR CANCGL THG PROVISIONS OP ANY OTHLR STATF OR IACAL LAW <br /> �" REGI".AIING CONSTRUCI'ION OR THG PGRPORMANCIi OF CONSTRUC'TION. THAT I AM AUTIIORIZGD RY THE <br /> OWNGR OI THIS PROPERTY TO PGRFORM THG WORK POR N'li1CH ;.PPl.lc'P.'iION IS AtAUG AND I COMPLY WITH <br /> �^ -�' TIIG STATE CONTRA('fORS LAW 18.27 RCW AND 296.2IXI WAC. <br /> X �� �� �� L �� , <br /> � L ! ' � � `�� a ll ,�_ �:�� ��, <br /> ��� '� ii nai re D��lr- <br /> �� <br /> � � ti')i) <br /> i� <br /> c�nnpp fvs�u�� <br />