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, .-. <br /> APPLICATION FOR ELECTRICAL PERMZT <br /> CITY OF EVER&77• <br /> BUILDING DMSION <br /> 3200 CEDAR STREET <br /> EVERE7T, WA 98201 <br /> 258-8810 <br /> ��;�g 3 o p � v ��,fj�- LUfr <br /> �'D0f Mul Addras <br /> C�ry Shte/Zip Phone <br /> ��L�/�"� 7U^�� <br /> i�°� `� Ma�l Addrcas <br /> C�tY StaWZ�p Phone <br /> /�le�s�e�-�/ecrS-; 9�/�- <-,�.� o,�,t� yf fe / .� 4�/v 1 S�3-ysar ,�,//?��z <br /> Electncal CantncWr Mail Addmst C�ty S4te/Z�p Phone <br /> 6, 9'O/I � ° s��U�No. <br /> , Contrut nce of Wor{c �f e <br /> Proposed Use of Bu�ldmg <br /> �Q_-g� �' � <br /> ' Project Addrecs <br /> , Description of Work to Be Done:__� � <br /> N07B:WAC 2%-16-140 RBQ[JIREg'(�{AT PLANS FOR ELECfRICAI,WORK AT EDUCATIONAL, INSTITU770NAL OR <br /> �AI'TH CARE FACILITIES BE APpROVED BY TNE S7'ATE OF WASHINGTON. ApPLICANrS WIT�[ SUCH JOBS <br /> MUST SHOW 1'!�S7'A'�AppROVED PLANS BEFORE C1TY OF EVERE7'pg[tM11'W�LL BE ISSUED. <br /> NOT6:WjRQ1(y jN NON-DWELL(MpS IS REQUIRED TO BE IN METALLiC RACEWqyS (MC AND AC, ARE CABLE$, <br /> ' NOT RACEWAYS). <br /> � <br /> s I HERfiBY CERT7FY'!'f�AT I HAVE REAp,�EXAMI.�fED THIS MPI.iCATION qND KNOW'('�gpME TO Bfi TRUE <br /> '�'NID CORRECI'• ALL PROVISIONS OF LAWS AND ORDINANCES GOVERMNG THIS TYPE OF WORK WQ,[, BE <br /> COMPLE'['Ep WIZ7{ W�7'�gR SPECIFIED H6R&[N OR NOT. THE ORANTING OF A PERMiT DOES NOT PRESUME <br /> : TO GiVE AUTHORITY TO VJOLA'IE OR CANCEL THE PROVISIONS OF ANY 07'HER STATE OR LOCAL LpW <br /> REGULATING CONSTRUCTION OR THE PERFORM,qIJCE OF CONSTRUCTION. THAT I AM AU'/'IipRIZED BY 7'HE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WpRt( FOR WNICH APPL[CATION IS MADE AND I COMPLY WITH <br /> � T'HE STATE CONTRAC7'pRS LAW 18.27 RCW ANp 296,Zpp Wq� <br /> '_`�� .'��� a�a-��r alo <br /> Sirn�ture Fce�_ <br /> Date <br /> �3�s� <br /> c�eoerr O�sivJ� <br />