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crty or �vEitLz-r <br />DUILDING DNISION <br />3200 CEDAR STREET <br />EVEREIT, WA 98201 <br />Owner o <br />Su ��� S <br />Tenant " <br />� ,� d� <br />� <br />EI cal Contractor <br />� �i <br />Contract Price of Work <br />��e � � <br />Project Address <br />� <br />APPLICATION T�'OR �LEC'.CRICAL pi;RMIT <br />___L� S�' � <br />Mail Address <br />o�l � � <br />Mail Address . <br />3Go( v�e�f .Q'c.� <br />Mail Address Cily <br />Description of Work to Be Done: <br />Ci ty <br />Ciry <br />259-8810 <br />Phone <br />Phoue <br />��CT �,5'�'i -21G l <br />State/Zip Ph;me Slale License No. <br />s L��t� �Yss�y 2� N <br />Yraposed Use of Building <br />N�TE: WAC 29G-46-140 RLQUIRL-S THAT PLANS FOR ELECTRICAL WORK AT EDUCATIUNAL, INSTITCiTIONAL OR <br />HEALTH CARE FACILTTIES BE APPROVLD BY THE STATE OF WASHINGTON. ApPLICANTS WITH SUCH JOBS <br />MUST SHOW THE STATE APPROVLD PLANS IIEFORE CITY OP EVERET PERMIT WILL BE ISSUED. <br />NOTE: WIIZING IN NON-DWELLINCS IS IZEQUiRED TO BE IN ML-TALLIC P,ACEWAYS (MC AND AC, ARE CABLES, <br />NOT RACEWAYS). <br />I HEREBY CERTIFY THAT I HAVL READ AND EXAMINED THIS APPLICATION AND KNOW THE SA,'vIE TO BE TRUE <br />AND CORREC'I', ALL PROVISIONS OF LAWS AND ORDINANCES GOVLRNING THIS TYPE OF WORK WILL BE <br />COMPLETED WITH WHETHER SPLCIFIED IIERLIN OR NOT. THE GItANTING OF A PERMIT DOLS NOT PRESUME <br />70 GNE AUTHORITY TO VInLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br />REGULATING CONSTRUCTION OR THE PERFORMANCL OP CONSTRUCTION. THAT I AM AUTIiORIZED BY THE <br />OWNLR OF THIS PROPERTY TO PL•RPORM TI[E WORK rOR WHIC[i APPLICATION IS MADL• AND I COMPLY 1VITH <br />THH STATE CONTRACTORS LAW 1..27 RCW AND 296.200 1VAC. <br />fi <br />igna W re <br />� � • <br />Date <br />57�/O/ <br />� � <br />Fec % <br />eleeepp (!/5/S <br />