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APPLICATION FOR�L�CTRICAL PERMIT <br /> �iia�� <br /> C1TY OF LVL•RETf � <br /> BUILDING DIVISION <br /> 3200 CEDAR S7REET <br /> GVEREIT,WA 98201 <br /> 259•8810 <br /> �-etfGv��n�'cs qYm4 Y53-uz:ly <br /> —Ac����=--�ti�-�r,-�vrt 3an - 1�ln}ha,�e N� �yc�C, �Pdnwe .��a-��'-�8117 <br /> Ouvet Meil Address City Slate/Zip Phone <br /> �is(��G�13t�r+s�vn.� 5u�(��� <br /> Ten— an� � �- - M5i1 Address . Ciry StatdZip � We? Phone <br /> n �/ WizqrCTlyl�7 <br /> / /Y �-i ;NT 'c�ci 8/ZS G - <br /> Iectrical Conl�actor Mail Address Cily StalelZip Phoo Sla Licease No. <br /> ��n� c`2.��C� DlSP�a✓ fr �o�C'{ tiv� <br /> Conlract Pricc f Work Proposul U of Duilding <br /> yR3SE�v�4rcc,. ,,�✓, ��cirCl LIIQ. CiSLOJ� <br /> Projut Address ' . <br /> / i <br /> DescriptionafWorkWBeDone:�/�Oi/F /rOrJ��, .6��G0s, �� �e�nn <br /> i i <br /> N07E:WAC 296-06d40 RLQUIRLS THAT PLANS FOR L-LLCfRICAL WORK AT EDUCATIONAL,INSTR'UTIONAL OR <br /> HGALT}f CAR)i PACILITIES 6E APPROVL•D BY THE STATE OF WASHINGTON. APPLICANTS W1TFI SUCH IOdS <br /> MUST SHOW THL STA7'E MPAOVED PLANS DLFORE Cff'Y OF EVL•AE'1'PERMIT WILL BE ISSUED. <br /> NO7'G:WIRiNG IN NON-DWELL[NGS IS REQUIRED TO IIE W MLTALLIC RACEWAYS(MC AND AC, ARE CABLES, <br /> NO:RACEWAYS). <br /> I I4EREUY CER7'IFY THAT I HAVE READ AND EXAMINHD THIS APPLICATION AND KNOW'IHE SAME TO IIF TRiIE <br /> AND CORRECI'. ALL PROVISIONS O� LAWS AND ORDINANCGS GOVL•RNING 7'H1S 7YPE OF WORK W[LL HE <br /> COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GNE AUTFIORITY TO VIOLATG OR CANCEL THE 1'ROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATTNG CONSTRUCTION OR THE PERFORMMICE OF CONSTRUCiION. THAT I AM AUTHORIZED ➢Y 7'HL• <br /> OWNER OP 7'HIS PROPERTY TO PGRFORM THE\VORK FOR Wli1CH APPUCATION IS MADE AND I COMPLY WITH <br /> TNE STATE CONTRACTORS LAW 18.27 RCW AND 29G.200 WAC. <br /> X � <br /> � C_c�-c�3 r•� /o�!'� 5b <br /> Sig turc Dale <br /> alr.�pp(!lSl9J) <br />