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CI'IY OF EVL•RETT <br />IIUILDMG DIVISION <br />3200 CEDAR STREET <br />EVEIiEIT, WA 98201 <br />� <br />APPLICATION TOR �L�CTRICAL P�RMIT <br />22Ug <br />�� B'� . <br />� <br />259•88f0 <br />q �03 �O �,� 21 <br />Owner � Mail Address Cil State/Zip Phoae <br />Tcoant � MaJ Address .. . . City SIatWZiP ' Phonc <br />�05� (i%fCC£L/3/' iN <br />Elcctricai Conlractor Mail Address Cily (� StatdZip P6one State Liunse No. <br />Contracl Price of Work ProposW Uu of 'uilding <br />7ao� ,�u���l ���;��`� <br />Projmt Address . <br />Description of WorA to Be Done: <br />NOTE: WpC 296-06-140 REQUiRES THAT PLANS FOR ELEC'[RICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br />HEALTH CARE FACII.ITIES IIE APPROVED BY 7HE STATE OF WASHINGTON. APPIICANTS W1T'2; SUCH JOBS <br />�SUST SHOW THE STATE APPROVED PLANS BEFORE CI1'Y OF EVLRET PLAMIT WII.L BE ISSUED. <br />NOTE: WIRING IN NON•DWELLINGS �IS REQUIRED TO BE IN MEfpLLIC RACEWAYS (MC AND AC, ARL CAHLES, <br />NOT RACEWAYS). <br />I HEREIIY CERTiFY 7'FIAT I HAVE READ AND EXAMINED THIS APPLICA7'fON AND I:NOW TFIE SAME 7'O BE 7'RUL <br />AND CORRECT, pI,i. FROVISIONS OF LAWS qND ORDINANCES GOVERNING TH15 TYPE OF WORK K7LL BH <br />COMFLLTED WITH NR-IETHER SPSCIFIF.D IiEREIN OR NOT. THL GRANTING OF A PERMIT DOES NOT PAESUhfE <br />TO GNE AIITHORI7'Y TO VIOLATE OR CANCEL THE PROVISIONS OF ANY 07'HER STATE OR LOCAL LAW <br />RLGULATING CONSTRUCfIOK OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED DY THE <br />OWNL-R OF THIS PROPL•RTY'IO PPRPORM THL WOR}: FOR \VHICH APPLICATION IS hiADE AND I COMPLY WITH <br />THE STA7"�E C\ON'IRACTORS LAW 18.27 RCW AND 29G.2001VAC. <br />� I <br />� � (, � �, ��C�-�-,�, �. _ _ - — <br />Sisnnturo <br />r��_ <br />Datc <br />clecepp (J/5/9l) <br />