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C1TY OF EVGRETT <br />IIUIT.DING DIVISION <br />3200 CEDAR STREET <br />EVEFtETT, V✓A 98201 <br />Owncr <br />Tenao[ <br />� <br />APPLICATION I'OR �L�CTRICAL P�RMIT <br />�; �Dl�7 GuL�� <br />1v�2 8" �vP��� <br />�ia C'u u H <br />Mail Address <br />��' C <br />Mail Address <br />S /� <br />Contractor Mail Address <br />"� �/ � � <br />Conlract Price of Work <br />Prnject Address <br />Dcscripliou of Work lo IIc Done: <br />Ciry <br />Ciry <br />s�c�z�P <br />Stale/Zip <br />259•8810 <br />rhone <br />� ^`� l -r'f i <br />P6one <br />3G o 1 L�ver��.�v� �=yc.�4Nssiv��P �� <br />Cily StalelZip Phone Slale Liceuse No. <br />(1'� -ia�l s�� o�zr�2/ � f <br />Proposul Use of Building <br />NOTE: WAC 296-46-140 RLQUIRES THAT PLANS FOR LLECTRICAL WORI� AT LDUCATIONAL, INSTITUTIONAL OR <br />HLALTH CARL FACILITIES BE APPROVED BY THE STATF. 0� WASIIINGTON. APPLICANTS WITH SUCH JO➢S <br />MUST SHOW THE STATE APPP.OVL'D PLANS IIEFORE C1TY OF EVL-RET PERMIT W1LL IIE ISSUEU. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BL 1N METALLIC RACEWAYS (iviC AND AC, ARE CABLES, <br />NOT RACEWAYS). <br />I HEREBY CERTIFY THAT I IiAVG ItEAD AND LXAMINLD TI11S APPLICATION AND KNOW THH SA2`4E TO BE 7'RUE <br />AND CORRLCI'. ALL PROVISIONS OP I_AWS AND OItDINANCES GOVL•RNING TH1S TYPL Or WORK �'ILL HG <br />COMPLL•TLD WITH WFIETIILR SPLCIPICD HL•FtLIN OR N07'. TIIL GRANTWG Or A PGRAIIT DOES NOT PRESUME <br />TO GIVE AUTHORITY TO VIOLATL' OIt CANCGL T}IL PILOVISIONS OP' ANY OTHGR STATE OR LOCAL LA�V <br />REGULATING CONSTRUCTION OR Tf-jE I'ERFORMANCE OP CONSTRUCI'ION. THAT I AM AUTHORIZED BY 7'I-iE <br />OWNER OP THIS PROPERTY TO PL-RPC'Rht TfIG WORK POR WH1CIi APPLICATION 1S b1ADL AND I COMPLY WI7'H <br />THE STATL• CONTRACT�RS LAW 18.27 RCW AND 29G.200 WAC. <br />Signature <br />Datc <br />Fee �� � <br />� — <br />�� �� � elecepp (!!S� <br />