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APPLICA'1'ION I�OR IsL�C'I'RICAL YEI21�1I'1' <br /> y,�,����: U <br /> CITY OP E•VERL•7T <br /> 13UILDING DIVISION <br /> 3200 CGDAR STREET <br /> [VERETT, WA 98201 <br /> 259-8810 <br /> �� �L �- /�c��!-�l�lGf�i� ���-� �.u�C� �� -�- � � ��y� ' <br /> � , 1�r� 1-�,-�ff I/'✓��_ �cc� /GG�� <br /> Owncr M�il AJdre<s Ci�y SL��c/%ip Phone <br /> 7'cnanl A?ail AJJrcra; ------�--- Ciiy St:dc/'J_ip Phooe <br /> Eleclnrnl Conlractur D1nil AdJress �ity Slnte/!ip Phone Stale License No. <br /> �/Vl�l/I �C1i �UVGlL'jc �� i: r ;� ' ��t �_ <br /> Contract Price of Work proposed Uj of I3uildin� <br /> � < <� G�s U� � D� � ��,� t�- <br /> Project Address <br /> Descriplion of Work lo IIe Done: i I�� / LL'(/ F� ��� •= �=i /r. , � l�t��r; �, � �• 7 �- <br /> lr' �, <br /> / r / <br /> _�ilj/1 /� q/i�HLI . <br /> NOTE:WAC 296-46•lA0 RHQUIRES TNAT PLANS POR ELLCTRICAL WORK AT EDUCATIONAL, INSTIT[JTIONAL OR <br /> HEALTH CARE FACILTTIES E3E APPROVLD DY TI{E STATE OP WASIiINGTON. APPLICANTS WITH SUCH JODS <br /> MUST SHOW THE STATG APPROVL•D PLANS DEFORE CITY OF LVERGT PERMIT WILL BE ISSUED. <br /> NOTE:WIRiNG IN NON�DWIiLLWGS IS 11F3QUIRGD 'I'C� I3I: IN t�tETAI.I.IC RACGIVAIB (MC AND AC, ARG CABLES, <br /> NOT RACEWAYS). <br /> I HEREUY CLR'CIFY THAT 1 IIAVG RGAI� AND LXA1�IWf:D TIiIS APPLICATION AND KNOW T31E SAMG TO Ur TRUE <br /> AND CORRFCT. ALL F'ROVISIONS OF LAN'S AND OIiD1NANCLS GOVGRNING TIIIS 7'YPE OP WOItK WILL F3L <br /> COMPLGTED WITH WFifi iLR SPECIFIED HGRGW OR NOT. THE GRAN'CING OF A PLRMIT DOLS NOT PRESUME <br /> TO GIVG AUTHORITY TO VIOLATF; OR CANCLL THE PROVISIONS O� ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONS7'RUC7']ON OR THE PL-RPORMANCE OP CONSTRUCTIOfJ. THA'P I Aht AUTHORiZGD I3Y T1fE <br /> ON?JGR Of TNIS PROPERTY TO PGRFORM THG WORK FOR �5'HICII ,41'PLICA'170N IS MADG AND I COMPLS' W1TH <br /> T}iE STATL• CONTRACTORS LAW 18.27 RCW AND 2�6.zno wnC. <br /> � C' <br /> X � �� . _ ��I �C <br /> �9- �: ' f. ;l i �c� �:-j � > <br /> ._ — Fec ,��)�.� <br /> ignelure Uale --- <br /> ` � <br /> decnpp�/5�93) <br />