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APPLICATION FOR ELECTRICAL PERMIT <br /> cr[Y o�EVE��rr • <br /> HUILDING DMSION <br /> 3200 CEDAR STREET <br /> EVEREIT,WA 98201 <br /> 259-881Q <br /> �G�Cc/, J��� ZZZ � J;u b��o�C K-" ��C S�CUt�1i (j.�/f ��..1, 3�F_"J��� <br /> Owner Mul Address City State/Zip Phona <br /> � � <br /> Tm�nt Mail Address . Ciry Sble/Zip Phone <br /> ,},u e�CC P�ZS3 �w <br /> S(�^��.1 1 �(7+� �CC �`^�. UA� �� �� �✓11�TS�l�. W� 70 c.C.J �J�_ ��i�� <br /> Elxtrica ContruWr Mail Addross Citf State/Zip Phoae S4te Liceasu No. <br /> o� <br /> �l C�� ('�-S;�e�.��`4� — �+n�eK <br /> Conlract Price of Work Pro sed se of Build' <br /> s-r� C�.� 2�� C�7` 3 � e� slr<,.�°P (�—f <br /> Projxt Addrese /� <br /> Deacription of Work to He Dona / C U� !-�G✓��-� L``^`D�� S �O V N �X — �(.'vl . <br /> G� IMu11 � ��Ct- N �C4 � S� ✓ V��.c (\� SI_c, �� GfioH �- IViw. <br /> '�✓ (�P S i`��c-1 1 F ' d' U�IQX <br /> NOTE:WAC 296�16-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATTONAL, INSTITU'I70NAL OR <br /> HEALTH CARfi FACQ.ITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS W1TH S(JCH ]OBS <br /> MUST SHOW THE STAT&APPROVED PLANS BEFORE Cl'fY OF EVERET PER1v11T WILL Dfi ISSUED. <br /> NOT&•WIRWC3 IN NON-DWELLiNOS IS REQUIRfiD TO BE W METALLIC RACEWAYS (MC AND AC, AR& CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTTFY THAT I HAVE READ AND EXAMINED THIS APPLiCATTON AND KNOW THfi SAM&TO BS TRUE <br /> AND CORRECC. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNINt3 THIS TYPE OF WORK WILL HE <br /> COMPL..FTED WITH WHE7'HER SPECIFIED HEREIN OR NOT. THE GRANI7NC3 OF A PERMIT DOFS NOT PRESUME <br /> TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STAT& OR LOCAL LAW <br /> REGULATINO CONSTRUCTTON OR THE PERFORMANCE OF CONSTRUCI70N. TH.AT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH <br /> THE STATE CONTRAGTORS LAW 18,27 RCW AND 296.200 WAC. <br /> X � � Z� —( � Fec� — <br /> Signaturo Date <br /> a«.rr�isro» � <br />