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f <br /> ��' �L � APPLICATION FOR CLGCTRICAL PERMIT <br /> CITY OF EVEREIT � <br /> BUfI.DING DIVISION <br /> 3200 CEDAR SiREET <br /> EVEREI'f,WA 98201 <br /> 259-BB/0 <br /> /3v�i�D E,� <br /> Owuer M�il Address City Smd2ip P6one <br /> Tenmt M�J Addrus Ci�y Sute/Zip Phana <br /> 1ye-�sorl G/Lc�/Y'l'_ 2�iS�c,oi��f/. S�I k.a 9es'03sas-�s��c if�.�•vu�> r <br /> Elatnui Comncwr Mul Addreu Cit�y�r SutrJZip Phooe S�a�e License Na. <br /> �—�9�� _95jiGC <br /> Contnct Pnm of Work Pmposed Uu o(Building <br /> .�(�••l1q G�C!'G� .r/O-�G Lul� a0 C�ad Si(/G �.l�i�/f, <br /> Projat Add rse <br /> Descriplion of Work to Be Done:_/tis7�� !Y�/�A G/�.v/�f�K��%Y� <br /> S�YY�/� .I�/}�S /.tl >�YY'�ir�i/ Siic/Yrl �� (3) l��k/ t'� �,. <br /> sa��rs f:s l.rl <et) is.o c�.,�/dt /'�LDfa,c/.�S , � <br /> NOTE:WAC 296d6-140 REQUIRES THAT PLANS FOR ELECfRICAL WORK AT EDUCATIONAI., IN57'IN170NAL OR <br /> HEALTH CARE FACILITIFS UE APPROVED BY THE STATE OF WASHINGTON. MPLICANTS W1T11 SUCH IOBS <br /> MUST SHOW THE STATE !PROVED PLANS BEFORE CITY OF EVEREf pERMIT WILL BE ISSUED. <br /> NOTE:WIRINO IN NON•DWELLINGS IS REQUIRED TO BE IN MEfALLIC RACEWAYS(MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY THAT I HAVE READ AND HXAMINED TIi1S APPWCATION AND KNOW THE SAM[TO BC•7RUE <br /> AND CORRECI', ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS 7YPE OF WORK N7LL ➢G <br /> COMPLETED WITH WHEi'HER SPECIFIED HEREfN OR NOi.THE GRANfING OF A PERMIT DOES NOT P(IFSUME <br /> TO GIVE AUTHORI7'Y TO VIOLATE OR CANCEL THE PHOVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULA77NG CONSTRUCf10N OR THE PERFORMANCE OF CONSTRUCf10N. THAT 1 AM AUTyORIZED BY TNE <br /> OWNER OF THIS PROPLRTY TO PERFORM THE WORK FOR WNICN APPLICATION IS MADE AND 1 COMPLY N7TH <br /> TFIE STATC COMRACI'ORS LAW 18.27 RCW AND 296.200 WAC. <br /> �� I <br /> X <br /> iN1� /o7-,j- � Pa �'< -' <br /> Si6nalurc Da1e <br /> dmpv plSNJ) <br />