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CI7'Y OF EVERLTT <br />BUILDING r�iVISION <br />3200 CEDAR STREET <br />LVERLTT, WA 98201 <br />Owner <br />� <br />��. <br />�� <br />'fcoant <br />�i1 G�' n l_ . <br />Ele:,�ical Ccntractor <br />Contract F'�ice of �Nork <br />Yroject Acdress <br />APPLICATION FOR �L�CTRICAL P�Rl�[IT <br />�� �n� <br />Mail Address <br />�/ _�! �� <br />Mail Address <br />City <br />City <br />1�v�4 � y�us <br />sta«iz�p <br />,� < <br />�-✓t-�! �/ . Ir✓�. /� <br />State/Zip <br />/� <br />�A�� � <br />i <br />�����3 <br />Phooe <br />J �. . +� <br />Phooe <br />A;ail Address City State/Zip Phooe Slate License No. <br />/ i <br />f_�r„���� n,�.•r -+fv�; <br />Propdsed Use of Building <br />Description of R'ork to Be Done: <br />S <br />NOTE: WAC 296-46-140 RL-QUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCA'I'IONAL, ITISTITUTIONAL OR <br />AEALTH CHitE FACILITIES IIE APPROVED BY THE STAI'E OP WASFiINGTON. APPLICANTS WITH SUCH ]OBS <br />r4UST SHOW THE STATE APPFOVED PL� i BL'FORE CITI' OF E• VERET PERMIT WILL flE ISSUED. <br />NOTE: WIRING IN NON-DWELLINGS IS R�.2UiRED TO BE IN METALLIC RACE1i'AYS (1�4C AND AC, ARE CABLLS, <br />NOT StACEWAYS). <br />I HEREI�Y CEF.TIFY'fHAT I HAVE READ AND EXAD4INED THIS APPLiCATION AND ICIQOW THL- SAhfE TO SL TRUE <br />AND CORkEr_7�. ALL PROVISIONS OF LAWS AND ORDINANCL•5 GOVERVING TIiiS TYPE OF WG�RK WILL BE <br />COMPLI:TED WI1'H NHETNER SPECIFILD HEREIN OR NOT. THL- GRANTING OF A YER'vilT DOES NOT PRHSUME <br />TO GIVE AC'!'HOWT1' TO VIOLATE OR CANCEL THE PROVISIONS OF ANY 07'HER STATE OR LOCAL LAGV <br />REGIJLA'I'IKG CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THL- <br />OWNLR OF THIS PROPERTY TO PLRFORM THE WOTtK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br />THE STATL C�JNTRACTORS L.AW 18.27 RCW AND 296.?00 WAC. <br />� , <br />X <br />i � <br />1---':� <br />; <br />�/r---. / <br />, ,. <br />,��-i,�, <br />Date <br />Fee <br />dccapp (!lSM,?� <br />