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( , <br /> APPI,ICATION TOR GL�CTRICAL PERMIT <br /> CffY OF EVERLiT � <br />� BUILDIN6 DIV1510N <br /> 3200 C[DAR STREET <br /> EVEREIT,WA 98201 <br /> ?58-B8f0 <br /> �J LZ� ti L <br /> Owner Mdl Addrtaa City SutdZip P6une <br /> •,�.-.r <br /> Tenml M�il Addreas City S�aWZip P6one <br /> ��.J�.�C� �Lrt.i_�.It . � �JJ�7 �'�r1i,1 �Jr� ,�i11 �.1,'^)II Ew .1 F IS�� Q� <br /> Elalriul Contr�ctnr M�il Addreu City SUWZip Pho1oe S�le licenx No. <br /> ��-\� V l� �-� \�..i, L1Ji �v lf- <br /> ��,7�.���/1� <br /> Contnc�Pri of Work Pro�ased UsE of Building <br /> VI S'U� "J�L��i-' � <br /> Project Addreee <br /> Deacripiion o!Wod�o Be Done: �'� S—U�'l �� 1�������(_ " � i . �l(1 1"' <br /> Y � �` �T.,)A�. f1 `�����.�� <br /> � <br /> NOTE:WAC 296d6d40 REQUIRES TFIAT PLANS FOR ELECfRICAL WOCK AT LDUCATIONAL, INSTINI'IONAI.OR <br /> HEALTI{ CARE PACILRIfS BE APPROVED BY THE STATE OF WASHINGTON. MPWCANTS WITH SUCp lopS <br /> MUST SIIOW TffG STA'IL•APPROVED PLANS BEFORE•CffY OF EVERET PGRMff W1LL BE ISSUED. <br /> NOTG:WIRING IN NON-DWGLLINGS IS REQUIRGD TO BE IN METALLIC RACEWAYS(MC AND AC, ARE CADI.IiS, <br /> NOT RACGWAYSj. <br /> I flERGfIY CERiIFY TNAT I HAVG RE�.D AND EXAMINf:D TIIIS APPLICATION AND KNOW 7f{E SAME TO flli TNUI'. <br /> AND CORRECf. ALL FHOVISIONS OF LAWS ANU ORDINANCGS rpyERNING THIS 'IYPE OF WOILK WII_I. BI: <br /> COMPLGTGD WITH WllE7'F{GR SPECIFIED HEREIN OR NOT. THG GRANTING OF A PERMIT DOES NOT PHGS'Jt,1F. <br /> TO GIVL AUTlIOR1TY TO VIOLATE OR CANCCL TH[ PROVISIONS OF ANY OTHGR STATF OR LOCAL I_.1N' <br /> REGULATINC CONSTRUCTION OR THE PERPORMANCE OF CONSTRUCTION. TNAT i AM AUTNORIZED BY ll!P: <br /> OWNGR OP THIS PROPI3RTY TO PERFORM THE WORK POR WHICH APPLfCAT10N IS MPDE AND 1 COMPLYµ'I I�fl <br /> TF1E STATG CONTRACiORg LAW 18.77 RCW AND 296.200 WAC, <br /> � • <br /> x ; <br /> � � / �j"�%/"i�_ Fa 'i0� <br /> " Signalure�.. D�Ie <br /> ����,� � <br /> a•�•er O�eA» <br />