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APl'LICA'1'ION FOR 1?LI;C'I'RICAL PLI2AfI'T <br /> CITY OP EVLRLTT <br /> DUILDING DiVIS10N <br /> 3200 CLDAR STRLET <br /> LVERETT, WA 9R201 `� <br /> 259-8810 <br /> f���..n_ '6�t��r:��rn 111 '� -� .�� -1 ����I>� `��in.,�l =��� �<> , ���-��nL <br /> O��mcr Mail AJJress City State/7_ip Phone <br /> Tcnant Mail Address City Slate/7.ip Fhone <br /> �.�c����� �.5�—,E ���a— �r�s� � �-R �.Y- LA - �.15 S��,a�P <br /> ElecMcal Contraclor Mnil Address City SL�te/Zip Phone State License No. ` <br /> � �r �� <br /> Conlract Price of Work Proposed Use of DuilJing <br /> ��� �� !�.—.�� ��J.a w Z"�Yl �— <br /> Project Address <br /> Description of Work to Be Done: �1���— �L, �, � . <br /> NOTE:WAC 296-46-140 RLQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTTTU'I'IONAL OR <br /> HEAL77i CARE FACILITIES BE APPROVED BY THE STATE OF WAS}iINGTON. APPLICANTS WITH SUCH JOBS <br /> MUS'C S.iOW TH&STA7'E MPROVGD PLANS BEFORE CITY OF LV&RET PLRMIT WIL1_ f3E ISSOED. <br /> NOTG:WIRING IN NON-DWELLiNGS IS REQUIRED TO S1: IN MCl'AL1.IC RACIi1VAyS (Mc' AND nC, ARIi CAI3LES, <br /> NOT RACEWAYS). <br /> I HLREDY CERTIFY THAT I HAVF READ AND EXAMINGD T'IIIS APPLICATION ANI) f:AOW THE SATiL TO BH TRUG <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCGS GOVERNING 'IHIS T}�PL' OF WORK 1VILL BG <br /> COMPLETED WITN WHETI�ER SPECIFiED IIE•REIN OR NOT. 7'HE GRANTING OF A PGRMIT DOLS NOT PRESUME <br /> TO GIVE AUTHORITY TO VIOLA7'E OR CANCEL THE PROVISIONS OF ANY OT'HER STATE �R LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PLRFORMANCE 0� CONSTRUCTION. THAT 1 AM AUTHORI7.ED BY THE <br /> OWNLR OF THIS PROPERTY TO PERFORM THE WORK FOR WIIICII APPLICA'PION 15 A1ADG AND 1 COMPLY WITI� <br /> THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X �j /, <br /> _ (KA-.�-- �/M�-Q-<�[ ` " ZO- 7y[ Pcc �-` + <br /> Si aUirc I),itr----- - -------- <br /> � �� ��i� ���� <br /> ��tr.���p p�s�.,. <br />