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Al'PLICATION TOk CLGCTRICAL PCRMIT <br /> crrv or•evfr�rr � <br /> UURDiNG DIVISION <br /> 7200 CF.DAA STRE6i' <br /> EVEREIT,WA 98201 �S��Q <br /> �ort/ �'st,c/. i,c5�.>,1��— �9 /G; r�,�11."�e� ,/'�. ��rr'.iv,P ��•s��� <br /> Owoar M�il Addrw City SlatdZip P6one <br /> Tmuil M�il Addrw Ci�y Sule/Zip Phooe <br /> Tv/3^r /.1�> /�ar�/.�/333 :S�s1-»re� n�a. ��'/ai/�3 .�•�/J� kiBri��iro.✓�Y <br /> ElmMul/ConMebr M�il Addm+e Cily 51�WZip Phone Slale Licenm No. <br /> A�F <br /> �/_ll. i � >/,lJ ' .! dG/!'•l� iµ�7�.— <br /> Conl.ct Price of Work Pmposed Uu f Building <br /> , .'�9 �t: �.(>S�,uU /."/� <br /> Projxt Addrw \ <br /> Descnplioo of Wark ta Be Done: /.�XiTif11L 7/4:!'�-� 1 ��V/.rrli-� ,r',Oi</-� �� <br /> /.��9lsA'iU/J,u-4 /.L.[.v/Hi�.�:'�6:�Y I3%J.0 !��6/J� <br /> .����_ �_� _ <br /> NOTE:WAC 29Rdb•140 REQUIRES THAT PLANS FOR ELECi7UCAL WORK AT EDUCATIONAL,INST(TU770NAL OR <br /> HEALTH CARE FACILffIL•5 BE MPROVED BY TI{E STATE OF WASHINGTON. MPL(�ANTS WITH SUCH lOBS <br /> MUST SNOW TIiE STATE MPROVED PLANS BEFORE C17Y OF EVEREI'PERMR WILL BE ISSUEI�. <br /> NOTE:WIRIN4 IN NON-DWELLINOS IS REQUIRED TO BE IN ML•TALLIC RACEWAYS(MC AND AC, ARE CABLE3, <br /> NOT RACEWAYS). <br /> 1 HEREBY CERTTFY THAT I NAVE READ AND EXAMINED TNIS APPLICATION AND KNO�V THE SAMO TO BE TRUE <br /> AND CORRECI'. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNINO THIS TYP6 OF WORK WILL BE <br /> COMPLEfED N�ITH WHETHER SPECIFIHD HEREIN OR NOT. TliE GRAMINO OF A PERMIT DOES NOT PRESUME <br /> TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTfIER STAT6 OR LOCAL LAW <br /> RE6ULATINO CUNSTRUCTION OR TNE PERFORMANCE OF CONSTRUCIION. TNAT 1 AM AUTHORIZED BY T11E <br /> OWN[R O�THIS PROPF.RTY TO PERFORM THfi WORK FOR WHICH APPLICh770N IS MADE AND 1 COMPLY WITH <br /> THE STA'fE CONTRACTORS LAW 1l.27 RCW AND 296.200 WAC. <br /> � <br /> x % � <br /> _ � !r� /.3���--- //, � � '/�'� ra. ; " <br /> - 'ignetum D��e <br /> �� Z717 <br /> •�•�•rv O�sA» <br />