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� <br />� <br />APPLICATION POR �LCC'fRICAL P�Ii:vIIT <br />CITY OF L•VERE7T <br />DUILDING DiVISION <br />J200 CED.4It S7'REEC <br />EVEREIT, WA98201 <br />yo� 7 S <br />� <br />259•8Pf0 <br />%/'.t'< �%J�=.J;— c �T <br />Ouver Mui Address � Ciy S�atdZip Fhooe <br />�ICONt <br />M�il Address <br />Ci�y S�ale/Zip P600n <br />f; "/!i.'id ' i �.. ; / �.•. r��. ' ,� , ° . .. ,�� o.� / <br />/.•' -i>9: �z y.. .. <br />Elxlnal Contncbr Mail Addrcsa Cily� n� Stnle/Zip Phoor SUte Licenm No. <br />Contnct Pria o( Work Proposed Uu o( Building <br />�'St � , !,:^ �, Loi' �I <br />PmjatAddmss <br />Deuription of Work lo De Done: �� - /�'r �.� U .: ;' .� r : � �(`�('J �. M � <br />NOTE: WAC 296-46d40 RGQUIRES THAT PLANS FOR ELECfRICAL WORK AT EDUCATIONAL, INSTITVI'IONAL OR <br />FiEAL771 CARE FACILTf1E5 11E APYROVED BY THE STATE OF \VASHMGTON. MPLICANTS WITH SUCH IODS <br />MUST SI{OW THE STAY'E APPROVED PLANS BEFORE CITY OF EVERET PL•RNIIT WILL DE ISSUED, <br />NOTE: WIRING IN NON-DWELLINGS fS R6QUfRED TO BE IN MI7ALLIC RACEWAYS (A1C AND AC, ARE CABLES, <br />NOT RACEWAYS). <br />1 HERGBY CL•RTIFY TH.�T 1 HAVE READ AND EXAh11NED THIS AP?LICATION ANU KNOW THL• SAME TO DE TRUE <br />AND CORRECI'. ALL YROV17710N5 OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK W(LL BG <br />COMPLGThD N'ITH WHGfHER SPECIFIED HEF.EIN OR NOT. THE GRANTING OF A PGRMIT DOES NOT FRESUML• <br />TO GIVL AUTHORITY TO VIDLA7'E OR CANCEL THG PRO\'ISIONS OF ANY OTNER STATE OR LOCAL LAW <br />REGULATING W:iCTRUCfION OR 7HE PERFORAfANCE OP CONSTRUCf10N. THAT 1 AM AUTIiORIZC•D BY TfdC <br />OWNGP. OF THIS YROtERTY TO PL•RFORM TI{g VJORIi FOR WHICH APPllCATION IS MADE AND I COMPLY WITH <br />THE STATE CONIRACTORS LAW 13.27 RCW AND 296.200 \VAC. <br />�i • <br />� '1y ;i, _ <br />y— Signa�um �Dale <br />r•� ��°o <br /><i�:err <br />