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� <br /> APPLICATION TOR�L�CTRICAL PERMIT <br /> Cff'Y OF EVEREII' <br /> BUII.DING DMSION ' <br /> 3200CEDAI:S7REET <br /> L•VEREIT,WA 98201 <br /> 259•88i0 <br /> Jyt�77$/Vtc�-r�/ <br /> Owner Mail Address City StatWZip Phone <br /> C�,���-ti a i <br /> Tcnant � MaJ Address . . . . . City St�te/Zip . . . Phone <br /> UalJneh_� � . . � . <br /> L•lectnnl Contmetot Mail qddrrss Cily StatelZip P6one State Liceoce No. . <br /> >!�. <br /> Contracl Price of Wark proposed Use of➢uilding . <br /> J�OS� /—J/.P.(�II.F.P�I , _ . <br /> Pmjmt Address , <br /> Description of Work to Be Donc: <br /> ' NOTE:WAC 296-06-140 REIzUIFtES 11-Ip'f pLANS FOR ELECTRICAL WORK AT EDUCATIONAL,INSTIT[TIIONAL OR <br /> HEAL77�1 CARE�FACQ.ITIES BE APPAOVED BY�THE�STATE OF WASffiNGTOtJ. APPLiCAAI'S WITIi SUCH JODS �• <br /> MUSl'SHOW THE STATE APPROVED PLANS BEFORE CITY OF EVERL•T PERMIT WII.L DE IS�UED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED 70 HE IN METALLiC RACEWAYS(MC AND AC, ARE CADLES, <br /> NOT RACEWAI S). <br /> I HEREDY CER7TFY 7'fIAT I HAVE READ AND EXAMINED THIS APPLiCATION ANU KNOW THE SAhfE TO BE TRUE <br /> AND CORRECT. pLL PROVISIONS OF LAWS AND ORDINANCES GOVERNINC 7'HIS TYPE OF WORk WILL DE <br /> COMPLLTED WITFI WI$I'HEA SPECIPIED HEREW OR NOT.THE GRANT[NG OF A PERMIT DOES NOT PRESUME <br /> TO GIVE AUTIiOFITY TO VIOLA7E OR CANCEL THL PROVISIONS OF ANy OTHER STATE OR LOCAL LAW <br /> RLGULA'RNG CONSTRUCTION OR THE YERFORMANCE OF CONS'fRUCTiON. TFiAT I AM AUTHORIZED BY THE <br /> 014NER OF T}llS I'AOPER7'Y TO PERFORM 71-�WO(U{FOR WHICH APPLiCAT10N IS MADE AND I COMPLY WTfH <br /> Y"dE STATE CONIRAGTORS LAW 18.27 RCW AND 296.200 WAC. <br /> /,.' �j <br /> X lf f � ._- /i-��9� r� -�',D <br /> SignaWre �,j , Date <br /> � <br /> dae ISl9J <br />