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APPLICATION FOR�L�CTRICAL P�RMIT <br /> cm oF svea�rr � <br /> BUILDMG DIVISION <br /> 3270 CEDAR S7REET <br /> EVERfiTf,WA 98201 <br /> 259-8810 <br /> ��j-V� LCl 11S ��1� �1, -aF�,l� , A3��i 1 �i�. ?,4"l-104�` <br /> Owvcr Meil Address City Shte/Zip Phoue <br /> Tcaant � � Mail Address City StatdZip � Phone <br /> t��1p)�rP °1�UJ, GL81, �c)• l �(�• 34`1—(6—FS <br /> Eialriwl Contnclor Mnil Addrcss Cily SWldZip Phone State License No. <br /> Contnct Price of k'ork Proposcd Usc of Huilding <br /> —1�11� l A�, C��C(� �(Z,�'t)�'i,7.c 41A, <br /> Projcet Address � <br /> Description of Work to Be Done, u���� l `[�,� ��'�K�a l TC t7 y� �T <br /> r—�)� �,� �1 {V'1�11��—.-P- �'�l-4Q��m �T <br /> �\ � . �A �.� .. C ���,s-lZ't�r�C s .��rk��.�1C�_ <br /> NOTE:WAC 296-0fi440 RGQUiRES THAT PLANS FOR ELEC'CRICAL WORK pT EDUCA170NAL, INSTiTUT10NAL OR <br /> HEALTH CARE FACILITIGS BE APPROVGD BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH ]OBS <br /> MUST SHOW TE�STATE APPROVED PLANS HEFORE CITY OF EVEREf PERMIT WILL BE ISSUED. <br /> NOTG:WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN MEfALLIC RACEWAYS(MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> 1 HEREBY CERTIFY TAAT I HAVE READ AND HXAbfINED THIS APPLICA7ION AND KNOW THE SAMG TO BE TRUE <br /> AND CORRECI', ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br /> COMPLETED N7TH WHEI'HHR SPECIFIED HEREIN OR NOT.THE GRAN7'ING OF A PERA7IT DOES NOT PRESUME <br /> TO GIVG AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THG FLRFORMANCE OP CONSTRUCiION. THAT I AM AUT}10R]ZED BY THE <br /> ONTiER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APFLICATION IS MADE AND I COMPLY WITH <br /> THE STATE CONTRAGTORS LAW 18.27 RCW AND 29G.200 WAC. <br /> � /n,�/ �7��/j/��/ � �7 <br /> C��<v�a=L� � ��/�� Fee L�J nfl <br /> Sisnaturc TDa e <br /> ci¢�pC Q/5/9 <br />