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APPLICATION FOR �L�CTRICAL P�RMIT <br /> CITY OF L-VSRETT <br /> BUILDING DIVISION <br /> 3200 CLDAR STREET <br /> LVERETT, WA 98201 <br /> 259-8870 <br /> J 'f"I ,�}�GJ�n� - i7�-N��-I�EL I � (OU N "C-' �—ST' ,j�tZL�(J� Lc��- �F�Oo� <br /> O�wer Mail Address City Sta[e/7.ip phone <br /> GUC c�N`� ��c.(Lc7� 10(�1 X��S�1P� (rJ�F'C �1 �' UC'1�5'1' �nJ,A-^ <br /> Teoant - � � � Mail Address . City S4�te/Zip phone <br /> /�Z�� -�C-.�'l2c c j�O . 'bot� 1.��8 . �y�l.�u.cxa� (,t„�1— '-'/Y�3G 7�>3 '�8y <br /> Electrical Contractor Mail Address C ty State/Zip Phoue �����License No. <br /> 3i1�-c <br /> 130 .�o or�t-rca5 _ <br /> Contract Price of Work Proposed Use o:Building <br /> r o f�-f -F�/�R-ar�+J � ��1 ��?.c.-�-r_ <br /> Prcject Address � <br /> Description of Work to Be Done: �� .-2 N�v Sw� '��-�'� "1� N�'J W.�GtiS <br /> I <br /> NOTIi WAC 296-46-14G REQUIRES THAT PLANS FOR ELECT L WORK AT EDUCATIONAL, INSTITUTIONAL OR � <br /> HEALTH CARE FACILITIES BE APPROVED BY THE STA1'E WASHINGTON. APPLICANTS WITH SUCH JOBS ' <br /> MUST SHON THE STATE APPROVED PLANS BEFORE CITY OF E��ERET PERMIT WILL BL- ISSUED. <br /> NOTr:WIRING IN IJON-DWELLiNGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, I <br /> NOT RACEWA i S). <br /> I HEREBY CERTIFY 7'HAT I HAVE FEAD AND EXAMiNL•D THIS APPLiCATION AND KNOW THE SAME TO BE TRUE <br /> AND CORRECT. ALL PROVISIONS OP LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE• <br /> COMPLL-TEU WITH W?�ETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRBSliME <br /> TO GIVE AUTHORI'I'Y TO VIOLATE OR CANCEL THE PROVISICNS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br /> OWNEF, OP THIS PROPLRTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WI7H � <br /> THE STA':'E CONTRACTORS LAW 18.27 RCW AND ?96.200 WAC. <br /> X <_ ,,� <br /> i <br /> —=��./�, --__� 2�6 l�!� Fcr; <br /> � Sig ur� , D:ite <br /> ��� ���� <br /> . " cic:ef;(J/S�o? <br />