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AI'PLICATION 1� OIt I�,LEC'fRICAL P�RA�II'I' <br />ct� or tvEr�TT <br />BUILDiNG DIVISION <br />3200 CEDAR STREET <br />LVERETT, WA 98201 <br />259-8810 <br />0( o n C� v i�N � i�j,.?� dcve�zl,y ��, /�1/-r -lr_s�g ?53- 6y�� <br />Owner Ma�l Address City State/Zip Phone <br />Twant Mail Address City � State/Zip Phone <br />5 P�� <br />_Wr3L1(UI?S FLccj �ic �GiA ��5'r""�9�- .Ck�T r� .a 334-22/� w,� a�r Ya6 ��(_ <br />Electncal Contractor Mail Address City SL�tc/Zip Phone Stale License No. <br />�.SB O• OD _�LS� i U rr,✓ c r <br />Contract Price of Work Proposcd Usc of I3uil��ing <br />_Sq.a�. as � .,,,�..r <br />Project Address <br />Description of Work to Be Done: !'.Uq� „�o P Ana A,.�,��nitL �P-R rNi'{ (�t�y ,�,¢mcw� <br />NOTE:IVAC 296-46-140 RLQUIRES THAT PLANS FOR ELECTRICAL �40R}; AT EDUCATIONAL, INSTITUTIONAL OA <br />HEAL'fH CARE FACILTTIES IIT: APPROVED IIY THE STATE OF WASFIINGTON. APPL[CANTS WI'IH SUCH JOBS <br />MUST SHOW 'I'HE STATE AI'PROVED PLANS BEFORE CITY OF EVGRET PERMIT WILL BE ISSUED. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (hiC AND AC, ARE CAIILES, <br />NOT RACEWAYS). <br />I HEREBY CERTIFY THAT I HAVG READ AND GXAMINL•D THIS APYLICATION AND KNOW THE SAME TO DE TRUL <br />AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVE•RNING 7HIS TYPE OF WORK \VILL BL <br />COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br />TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LA\V <br />REGULATING CONSTRUCTION OR TfiE PLRFORMANCE OF CONSTRUCTION. THAT i AM AU7IiORIZED BY 'IHP <br />OWNLR OP THIS PROPLRTY 70 PLRFORi�4 T}iG R'ORK PUR R'iI1C11 AYPI.ICA7']ON IS 1�9ADE AND I COh1PLY WITH <br />THL STA'I'E CONTAACTORS LA�V 18.27 RC\V AND 29G.200 \VAC. <br />Sionaturc <br />�� <br />�_ <br />Dale <br />� f' <br />�i�:o;,� pc;,o: <br />