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; <br /> APP7,:CATION I'OR�L�CTRICAL P�RMIT <br /> �l��,;8 <br /> crrr or•sveasrr � <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> LVERETT.\VA 98201 <br /> 259-8870 <br /> ,'� <br /> ' f�cNl�t'� A CA,�I'Q.'C �o� N ,co�n�aeo A✓c �,.F�ErT u a 9S�o i ��,� �� u <br /> O�hicr Mail Addrus City State/'Lip phone <br /> S�mE <br /> Tenmt Mail Address City Stale/Zip Phonc <br /> Sr�� <br /> Electriwl Contmctor Mail Address City State/Zip Phoee SL�te License No. <br /> Wro,00 SF{�' <br /> CoNract Price o(\Vork proposed Use af Building <br /> SA!»E <br /> Project Address <br /> Description of Work lo Be Dona_ /.(�5 j�L L /pp q,(/;n ��q,��� TO <br /> ����Ae c .�x�sr,.✓6 ,c'.cil�.e ao xFs �+ �a,t/,C� <br /> C0.1/A/�C'T cX/STi.t/G C/.PCUiTS TO .1/EI(/ `/�t/R/CL <br /> NOTE:WAC 296-06-140 REQUIRES THpT PLANS FOR ELECTRICAL WORK qT EDUCATIONAL, INSTITUTIONAL OR <br /> HEALTH CARL• FACILITIGS UE APPROVL-D BY 7HE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br /> T1UST SHOW THE STATL qppROVL•D PLANS BEFORE C1TY OF PVERET PERMIT WILL IIE ISSUED. <br /> NOTL:N7RING IN NON-DN'ELLINGS IS RF.QUIRED TO BE IN METALLiC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I fiGREDY CERTIFY THAT I HAVE READ AND EXAMINED'fHIS APPLICATION AND iWOW THE SAhiE TO IIE TRUE <br /> AND CORRECI'. ALL PROVISIONS OF LAWS MID ORDINANCES GOVERNIPlG TH1S TYPL OP WORR WILL BG <br /> WA1PL[TLD WITH WHGTHER SPECIF[ED HEREIN OR NOT. THE GRANTING OF A PERAi1T DOGS NOT PAESUM1fE <br /> TO GIVE AUTHORITy TO VIOLATE OR CANCEL THE PROVI5ION5 OF ANy OTHER STATE OR LOCAL LA�S' <br /> REGULATING CONSTRUCTION OR THE PLRFORhfANCE OF CONS7RUCI'ION. THAT I Ab1 AG I'HOFIZED BY 7'HE <br /> 0\VNGR OF THIS PROPERTY 7'O PERFORM THE WORK FOR 1VHICH APPLICATION IS 1�1ADL Ai.'D I COMPLY WITH <br /> THE STATG CONTRACTORS LAW 18,27 RCW AND 296.200 WAC. <br /> \ ���/A. �e0%tD� �h po <br /> ia�a 93 rro �r� <br /> Signaiuro Da�e <br /> dv: �p l"y,oi�. <br />