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CITY OF EVERL7'I' <br />BUILDING DNISION <br />3200 CEDAR STREET <br />EVEREI'I'� WA 98201 <br />(� L'rL' �C.�� <br />Owner <br />�'^"-' l� J �i a.?, <br />�_ <br />TCOnI7I <br />� <br />L+� (1�_ <br />Elcctrical Contractor <br />� �!- <br />Conlract Price of Work <br />Project Address <br />APPLICATION P'OR �LLCTRICAL P�ItMjT <br />�„ <br />/,/ � � � <br />Mai! Ad--__ <br />Mail qddress . <br />Mai1 Address <br />r <br />^ w<y 5f� <br />Descriplion of Work to Be Done: <br />�� <br />, �:,�'�=� %o� <br />City . State/Zip <br />�� SL �A. '/ i( <br />CitY State/Zip <br />State/Zip <br />Proposed Use of Bui)ding <br />Phooe <br />I� <br />259-8810 <br />�" �y_�� '� <br />� <br />� �i� , <br />P6one <br />�— ��--� � 3 <br />Phone <br />State License No. <br />� <br />NOTE: WqC 296-46-140 R6QUIRES'�AT PLANS FOR ELECTRICqL WORK AT HDUCATIONAL, INSTITU'I70NAL OR <br />1-TEAL'I'Fi CARE FACILITIES B& AppROVED BY THE STATE OF WASHINGTON. APPLICANTS W1TH SUCH JOBS <br />MUST SHOW 'TT� STA7'L qppROVED PLANS BEFORE CITY OF EVERBT PER1v1IT WILL BE ISSUED. <br />NOTE: NIRING 1N NON-DVJLLLINGS IS REQUIRED TO BE IN METALLIC RACEIVAYS (MC AND AC, AItE CABLES, <br />NOT RACEWAYS). <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMiNLD THIS APPLICATION AND iCNOW THB SAME TO BE TRUE <br />AND CORRL•C7'. ALL PROVISIONS OP LA�VS AND ORDINANCLS GOVERNING THIS TYPE OP WORK WII,L gg <br />COMPLETED WI1'g WHETHER SPECIFIED HF.REIN OR NOT. THE GRANTING OF A PLRMIT' DOES NOT PRE•SUME <br />TO GIVL AUTHORITy TO VIOLATE OR CANCLL THE PROVISIONS OF ANY OTHLR STATE OR LOCAL LAW <br />REGULATING CONSTRUCTION OR TIiL PERFORMANCL OF CONSTRUCTION. TIiAT I AM AUTIiORIZED BY THE <br />D�i'NER OF THIS PROPERTY TO PERFORM THE WORK FOF 11'HICH APPLICATION IS DT�E pND I COMPLY 1VITH <br />7HE STATE CONTRACTORS LAW 18.27 RC\V AND 29G.2GO 1VAC, <br />X <br />--� <br />�,,� _ � 1 <br />Signature <br /><`:, •_ <br />/.-, <br />i - ` <br />—Da�c <br />`, <br />��j� ;. � <br />, <br />Pec__..-..�`� _ <br />� i«enr �isio» <br />