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( <br /> APPLICATION I'OR �L�CTRICAL P�RMIT <br /> CITY OF E�BRETT <br /> IIUII.DING DIVISION <br /> 3200 CEDAR STREET <br /> EyERE'IT,WA 98201 259-B810 <br /> Owner Mail Address City State/Zip Phone <br /> �o���� 303� 1�6 <br /> ____�-a�-cQ.... La���,� 1631 c�^�� �.- �� `-i�� � • �� <br /> T��t , Mail Address . . Crty Slate/Z�p Phooe <br /> Elcetrical Conlraclor Mail Address City SlatelZip Phone Slale Licease No. <br /> � . � �Z������� - <br /> Conlract Price of Work Proposed Use of Building <br /> �( -1-,� Lc� rn��,5� <br /> Projecl Address /,"� , " <br /> Ducripliou of Work lo IIe Done: �1\Q1�? �—Cfl-- ��O F�`p � ��Q �/�� <br /> ( � SIl Aa a., .. <br /> NOTE:WAC 296-4G-140 REQUIRES T'I-IAT PLANS FOP. ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br /> HEALTH CARL FACILITILS IIE APPROVED BY THE STATE OF WASHINGTON. AF'PLICANTS WITH SUCH JOBS <br /> MUST SHOW THE STATE APPROVED PLANS BEFORE Cl'fY OF EVLRET PERMIT WILL BE ISSUEll. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRLD TO BL IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> 1 FIEREBI' CERTIFY THAT I HAVE READ AND LXAMINLD TEIIS APPLICA'CION ANll KNOW THG SAME TO BE TRUG <br /> AND CORItLCT. ALL PROVISIONS OF LAWS ANll OItDINANCGS GOVlftNING THIS Tl'PL OF WORK WILL BG <br /> COMPLL•TED WITH WHETHER SPL'CIPIED HLREIN OIL N01'. THE GRANTING OI' A PERMIT DOES NOT PRESUME <br /> TO GNE AU'CHORITY TO VIOLATL OR CANCLL THL I'ROVISIONS OF ANY Oi'HER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OP CONSTRUCTIOfJ. THAT I AM AUTHORIZED BY TI?E <br /> OWNER OF THiS PROPE2TY TO PLRFORM THG WORK FOR WIIICEI APPLICATlON IS MADE AND I COMPLY W17'H <br /> THE STATE CONTRACTORS LAW 18.27 RCW AND ^<9G.200 WAC. <br /> " ��� 4�Q�� 5 �� •�� FrA �� <br /> Signawro <br /> Date <br /> elecapp(J/S� <br />