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APPLICATION I'�JR �LL'CTRICAL PL'121�IIT <br />CIT'Y OF L•VE[LETT <br />IIUII.DING DIVISION <br />3200 CEDAR STRLET <br />LVEFtETT, WA 9R201 <br />259-8810 <br />E✓�2ETl� �'�mzyC'�,6- �C?3cb- �oa�' u��- ydae 3 �q- Fi�/j <br />O�mcr D1ail Addn:ss Ciry SlatelZip Phcoe <br />1'cnvd <br />T7ail Aildress <br />Electrical Contractor Mail Address <br />Ci�y <br />_ EYEk�-ii tct9- <br />City Stalc <br />Slalc/Lip <br />20� •Gsy <br />PLonc <br />00 <br />/SQi. - <br />Cantract Price of Work Proposed Use of BuilJing <br />a 9a y�. �/r�� . � <br />rro��c naa,�s � <br />Description of Work to Ee Done: �a/� '� C1AS ,Q�!!/YJQ`� • <br />--r—��—r r <br />Phunc <br />Ey4o.as si�s, <br />SL�Ie Licensc Na. <br />NOi'fi:1VAC 29G-06-1d0 RL•QUIRE5 THAT PLANS POR ELEC7'RICAL WORK A'P EDLICATIOAIAL, INSTITUTIONAL OR <br />IiEAL1'H CARE FAC1LITiL-S BE APPROVED BY TI{G STATE OS' \VASHINGTON. APPLiCANTS WITII SUCH )OBS <br />1�1US1' SHOW THE ST.1TE APPROVED PLANS IIBPORH CITY OP LVLItL•'C PL•R1r11T WILL IIE ISSUED. <br />NOTE: WIRING IN NON-DWELLiNGS IS REQUIRL•D TO BL 1N MLTALLIC IiACL14AYS (t�iC AND AC, ARE CAALL•S, <br />NOT RACEWAYS). <br />I H6RLDY CERTIFY THAT I HAVE READ AND LXAAIINGD THIS APPLICA7'ION ANll KNOW 7'FiG SAME TO AE 7'FUE <br />AND CORRECT. ALL PROVISIONS OP LAWS AND ORDINANCES GOVEItN11JG THIS TYPE O� WORK WILL BL <br />COAfPLETED \'VITH WHETHER SPLCIFIED HLRL-W OR NOT. TIi6 GRANTMG OP A PERMIT llOLS NOT PRESUhiL <br />TO GIVii AU'CHUIt11'Y 1'O VIOLATE OR CANCGL TIII YIZOVISIONS Ol� ANY O'I'HER S"I'ATL' OR LOCAL LAN <br />RLGliLATING CONSTRUCTION OR THL YLRFORh1ANCG OF CONSTRUCTION. THAT 1 AA1 AUTHORIZLD BY THE <br />OWNER OF TIiIS PROPERTY TO PERFORA4 1'HE VJORK FOR 1VHICH APPLICATION IS D4ADL AND I CODtYLY WITH <br />THE STATL CONTRACTORS LA\V 18.27 RCW AND 29G.200 WAC. <br />X <br />Date <br />� <br />I I'l� �/, l_� <br />/-, `' - <br />Pec � � 1 <br />cictopp (715/S <br />