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CI7Y OF E-VERLTT <br />BUILDING DIVISION <br />3200 CEDAR STRE[T <br />L'VERETT, WA 98201 <br />u��- P��� <br />owner <br />Tenarit <br />AI'PLICA'I'ION I�'OR 1?LEC'1'IZICAL Plii.�I1�1I'I' <br />Ye l� 66 z � &s,.ea.��, f�c� <br />i F�L{� Mail Addrrss <br />Meil Address <br />ls�/f 9s'?��,3 <br />StaldZip <br />State/Zip <br />NC���o�� <br />E <br />259-8810 <br />(<<�/�r3 � dss� <br />Phone <br />Phone <br />���l,N �- ( <br />l/l�: PT;����—�c� se•��;� ��� .�ueruu wA 93firj <br />Electrical Conlrector Mail Address •�ily Slale/Zip Phorr State License No. <br />$ 5jy��, <br />P�{ - :��,� r7a�- - — <br />Contrac! Price o( Work Proposecl Use nf Ruilding <br />EE 1 `% �a+,l,'?� ,� G D <br />Yroject Address ' <br />Dcscription of Work to Be Done:C%%���il� ,Jylpt(L,rP /�n-{� ' �; a� �(,� ,sl��__ <br />�D 1(/?Cy�M,i�rf/Nc� GP.�-i�t;,9 �ol�(' --- <br />NOTE: WAC 296-06-140 REQUiRES T1iAT FLANS FOR ELECTRI^_AL WOlZIC AT EDUCATIONAL, 1NSTITUTIONAL CR <br />HEALTH CAItE FACILITfES F3E APPROVED BY 7'liE STATE OF WASHINGTON. APPLICANTS WITH SUCH )OBS <br />MUST SHOW THE STATE APPROVED PLANS BGFORE CITY OF EVLRET PERMIT WILL HL ISSUED. <br />NOTE: WIRING IN NON-DWELLiNGS IS REQUIRLD TO DB IN METALLIC RACEWAYS (MC AND AC, ARE CABLEi, <br />NOT RACEWAYS). <br />I HEREBY CERTIFY THAT I HAVE READ AND $XAMINED THIS APPLICATION AND KNOW TH. i SAME TO ➢L TRUii <br />AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCLS GOVERNING THIS TYPE JF WORK WILL DG <br />COMPLETE-D WITIi WHETHLR SPECIFIGD HLREIN OR NOT. THE GRANTING OF A PERM[T DOES NOT PRESUM ° <br />TO GIVL AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATG OR LOCAL LAVi <br />REGULATING CONSTRUCTION OR THL PLRFORMANCG OF CONSTRUCTION. TFIAT I AM AUTHORIZED DY THL', <br />OWNLR OP THIS PROPGRTY TO PLRPORM TIIL' WORh POR WHICII AP}'LICATION IS 1�1AD[ AND I COMPLY WIT}i <br />7'HE STATG CONTRA('TORS LAW 18.27 RCW AND 295.200 WAC. <br />\ <br />�-�Zl , � �+(� �-' � S/i,� ,'�> }' <br />Signolure Date ---- <br />I�re ��� �', � (r � �� <br />dccnpp (7/SI9J) <br />