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�i y �� ; <br /> 1� APPLICATION FOR �L�CTRICAL PERMIT <br /> CITY OF EV[FIETi � <br /> BUiLDINO DIVISION <br /> 3200 CEDAR STREET �j <br /> EVLREIT,WA 98201 <br /> 259•B810 <br /> �C�/'iFr /7/�A�� �� �%�.r�Um/'n�r/ �(�l�/�r� �l�i'� l�-7J� �.5� � �00 <br /> O�wcr Mail Addcss C�ty State/Zip phone <br /> ��f�� P ti' S A/�e✓-E <br /> Teuant � � � Mail Address City Slate/Zip � Phoue <br /> �cG:.�t f�c��i� .s(�/.5��/loa,r2 ��r�rlTl�� y�a'�� -,�s;a- �/'d97���hinlc�177C� <br /> Electrical ontractor Mail Addre:, City Smte/Zip Phaoe SL�te License No. <br /> �( f'S/i/'-!�✓�/i�. <br /> Contract Price of H'ork Propos;d ILe o(Building <br /> Projut Address . <br /> Ducripfion of WorA W Be Done: �L �Y�t i,G/ SP/'✓!C� �C— /�O �1 m�J �o <br /> ,��A ,�`n+ � <br /> NOIE:WAC 296-06-140 REQUIRES THhT PLANS FOR=LHCTRICAL WORK AT EDUCA7'[ONAL,INSTITUTIONAL OR <br /> HEALTH CARE FACILITIES BE AYPROVED BY THE STA7'E OF WASHINGTODL APPLICANTS WITH SUCH ]OBS <br /> MUST SHOW THE STA7"E APPROVED PLANS BEFORE CII'Y OF EVEREf PE[iMIT WILL BE ISSUPD. <br /> NOTE:WIRING IN NON-DWELLiNGS IS REQUIREU TO DE 1N METALLIC RACEWAYS(MC AND AC, ARE CAf3LE5, <br /> NOTRACEWAYS). <br /> I HL•REBY CERTIFY THAT]HAVE READ AND EXAMINED THIS APPLICATION iWll KNOW TIiE SM1E TO BE'IR7L <br /> AND CORRLCT. ALL PROVISIONS Of LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK \VILL 3E <br /> COMPLETED WITH WHL•THL-R SPLCIPIGD HEREIN OR NOT. 7HE GRANTIhG OF p PERMIT DOLS NOT PRESUASE <br /> TO GIVG AUTHORITy 70 V10LATE OP. CANCEL THE PROVISIONS OF ANY' OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PLRFORMANCE OP CONSTRUCI']ON. THAT I M1 AUTHORIZHD BY T}iE <br /> OIVNLR OP THIS PRUPERTY TO PERFOP.M THE WOW;POR R'HICH APPLICATION IS�fADE ANU I C01.1PLY WI7H <br /> THE STATE CON7RACTORS LAW I8.27 RC\Y AND 296.200\4AC. <br /> �� � / <br /> � � �� ����� 7 —�� Fec �� G C� <br /> Signaium Date -- <br /> dacepp(JIS/9)1 <br />