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crty or Evea�7-r <br />IIUILDING DIVISION <br />3200 CEDAR STRLET <br />LVL•RLTT, WA 98201 <br />Owner <br />Tcoanl <br />AI'PLICATION I'OR �LLCTRICAL 1'�RMIT <br />Mail AdJress <br />Mail Address <br />,� Suu�-T <br />Eleclrical Contractor Mail Address <br />a.� �° <br />Cunlracl Price of Work <br />Project Addreu <br />Dcscripliou of Work to Bc Done: <br />� <br />�+�`u-7��Wfv �O <br />Ciry Slale/Zip <br />. Cily StalelZip <br />b.Re..��.c,�4 9�5�0 � d5� <br />City State/Zip Phooe <br />�Q������. <br />Proposcd Usc of Building <br />��f � �ao3 <br />259-8810 <br />Phone <br />P6oue <br />�ylA� s�� <br />State Liceuse No. <br />NOTE: WAC 296-46-140 RLQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTfCUT10NA1. OR <br />HnALTH CARL PACILTTIES DE APPROVED BY T11E STATG OF WASIiINGTON. APPLICANTS WITH SUCH JOBS <br />;vIUST SHOW THE STATE APPROVLD PLANS ➢EFORE C1TY OF :iVERET PEIiMIT WILL DL ISSUED. <br />NOTE: WIRING IN NON-DWLLLINGS IS REQUIRLD TO DG IN METALLIC RACEWAYS (MC AND AC, ARE CABLLS, <br />NOT RACEWAYS). <br />I HER5f1Y CERTIFY THAT I HAVB READ AND EXAMINLD THIS APPLICATION ANll KNOW THE SAME TO I3E TRUL• <br />AND CORRECf. ALL PROVISIONS OP LAWS AND ORUINANCES GOVL'ItNING THIS TYPE O� WORK WILL Uld <br />COMPLL•TED WITIi V✓H6PFIER SPGCIFILD HGREIN OR NOT. THG GRANTING Or A PLRMIT DOES NOT PRESUME <br />TO GIVG AUTHOhITY TO VIOLATL• OR CANCL•L T}1L' PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br />REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZEU BY'II�E <br />OWNER OF THIS PROPERTY TO F�RFORM THE WORK FOR WIiICH APPLICATION IS MADE AND I COMPLY WITI� <br />:'HE STATE CONTRACfORS LAW 18.27 RCW AND 296.200 WAC. <br />Signawrc <br />[�J <br />Sl�3a� <br />7, 7 <br />Da�e <br />i <br />Fee�_ <br />decepp (llSi <br />