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A�'PLICATION �'Olt �;I,I;CTRICAL �'rI2MI'1' <br /> C11'Y Of EVERE'1"[' <br /> AUILDING DIVI5ION <br /> 320U CGDAR S'i'REET <br /> FVEREIT, 1YA 98201 <br /> 259•8810 <br /> Dr. Jeffery Rose 18ll England A��c. I;vcreCt �;q <br /> Owaer Mnil Addrass <br /> CitY StatelZiP �'hone <br /> Dr, Jeffery Rose 18ll England Ave. EvereLt lJA <br /> Tenant . . Muil Addreas . <br /> CitY SG�Ic/Zip 1'himc <br /> Dick Ho�aard & Sons Electric, Inc. P.O, Box 99, Lynmaood, 1JA 98046 <br /> $lecl�ical Contractq� Mail Addrcss Cit DICKHSE132RU <br /> y S�te/zip Phoue Stut�� iceuse No.� <br /> _ i �.z9'. c*o `� . (�o�)��s-i�i8 <br /> _1�r��' ��»7���L <br /> Conlract Pricu of Work Propocul Use of Boilding "—"T�.._ — <br /> r� <br /> �(i.:L3?<-' <br /> Project A�Idress '—" <br /> bcscription of Work to gu Dona;� . , ) (*7)�� 7����n��� / ��f-��i_,-- <br /> ' NOTF:WAC 296-46•140 REQUIRES THAT PI.ANS FOR �LCCT:LICAL WORK AT EDUCATIONAL, TNSTITUTIONAI. OR <br /> ' H$Af,Tld CARF, FACILTTIES BE pppROVED BY TIIC S5'A'!'fi OF WpSHINGTON. APFLtCANTS W1TH SUCI3 JOl3S <br /> MUS'I'SHOW THu STATE APPROVED PLANS BEPORE�ITY OF LVERET PERM[T WILL It� ISSUGD. <br /> NO'I'E:\YIRING IN NON•DWBLLINGS IS REQU[RED TO f3F, [N MG'1'ALT.IC RACEWAYS (MC ANll AC; ARE CABLES, <br /> N01'RAC��VAYS), <br /> I HERFI3Y CERTIFY TIIAT I HAVE RF:AD AND E;lAMIN6D TN[S AppLICATION ANp iWOW T[IG SA1vIL"f0 BE TRUE <br /> M!D CORR6CT, ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING 1']IIS 1'YPE O� 1VURK WILi, llL• <br /> COMPLETEG WITH WHETHER SPECICIED HEREIN OR NOT. THE C;RANTING OF A YEI21�fIT DOGS NOT PRBSIJjvfL• <br /> 1'b G1VE AU'fHOR1TY TO VIOI,ATE OR CANCE4 THF, PROVISIONS pF ANY OTHER STqTF OR LOCAL LAtY <br /> REGUI,ATING CONSTRUCTION OR THfi PERFOR1�fANCE OP CONSTRU01'ION. THAT I ADf AiJTIIUItf7.Ep 13X TIIL <br /> OWNLR UF TIIJS pRUP&RTY TO PERFORM THG WORK FOR WHCCT� APPLICATION IS h(ADC A[JD 1 C01fPLY WT'1'H <br /> THF,STAT'G coNTRACTORs I,AW 18.27 RCW nNn z95.?o0�v,�c;. <br /> _ __, <br /> =� _— <br /> x �'�� , � r� / '� /� �:ti �J__�__� <br /> Sign ur ��� —..._ /._.... 1'cc. � <br /> Date <br /> �•, � �••« �� ��...� ..r_r_1 ��, vai.i cr�r c>> ac�� :fll i,�(1 �1Q'15 I I.H?J3i13 �0 ,t1.IJ:lJOJ�1 <br />