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CITY OF EVF.RE'IT <br />BUILDING DMSfON <br />J200 CEDAR STREET <br />EVEREI'C, WA 9820I <br />awu <br />APPLICATION TOR CL�CTRICAL P�RMIT <br />�[ 7y xo za Sr SG �v,��-el% �n S <br />Addrcss <br />City <br />� <br />259-8810 <br />9>` ' <br />i 33y- /SSy <br />Phone <br />Teoanl Mail Addrnss Ci�y SuldZip p6oue <br />s�rf� <br />Elmtriul CoNmctor M�il Addrcss <br />Conhact Price of Work <br />City StntdZip Phooe Slate U:enm No. <br />!� v u r o <br />ProposW UuofHuildirg <br />i Z l L /V l.' V� l- �,� !. rt-�a ' L: ✓ <br />Prqat Addrru �—� . <br />DucripfionafWbrL.loBeDone:_NS/.� �� )7ew i�FVI�� ��-+vig/ `t i �1, ,1�r7�i <br />NOi'L:: WpC 296-06-140 REQUIRLS TISAT PLANS FOR EISCI'RICAL WORK AT EDUCATIONAL, INSTITV170MAL OR <br />F{EALTH CARE F.4CILITIES BE Al'PROVED BY 7HE STATE OF WASHING70N. MPLICANTS WI'fFI SUCH lOBS <br />MUST SHOW THL• STA7E APPROI'ED PLANS BEFORE CITY OF EVL'RF.f PERMIT WILL �E ISSULD. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAI'S (MC AND AC, ARE CA9LES, <br />NOT RACEWAYS). <br />I HLRL•�Y CER77FY THAT I HA Vli READ AND EXATfINL•D THIS APPLICATTON AND KNOW THE SAMG TO pii 7RUE <br />AND CORRECT. q[1, pR0\'ISIOVti OF LAWS AND ORDINAN��ES GOVERNING 'IHIS TYPE OF WOIUC W[LL �E <br />COMPLGTED WI'fFi WHETF{ER SPL•CIFIED HEREIN OR NOT, TFiE GRAMMG OF A PL•RMIT DOFS NOT PF.ESUAfE <br />TQ GNE AUTHORITf TO VIOI.ATE OR CANCfiL THE PRO'JISIONS OF ANY OTHER STATE OR LOG�I. LAW <br />REGULATING CONSTRUCTION OR THE PEIVORMANCE OF r_ONS7RUCIlON. TFiAT I AM AU7'HORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM TFiE WORK POR R'FIICFi APPLICATTON IS MADE AND 1 COMPLY WITH <br />THE STATE COMRACI'ORS LAW I8.27 RCW AIJD 296.200 WAC. <br />Signalure <br />ii <br />�/����f/ <br />r•u %o <br />a«•vr o�sro�� <br />