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Al'PLICATION rOR �L�CTRICAI. P�R1�tI1' <br />CITY OF FVERLTT <br />➢UILDING DIVISION <br />3200 CLDAR STREET <br />LVLREIT, WA 96201 <br />��v�J i.��i,cu '�rl � , <br />Oxner Mail <br />7'cnant hfail <br />ili�.Lc.L� .�: <br />,_ '/,'.J�� <br />Addrecs <br />Conlractor Mail Addrcss <br />V—� <br />259-0810 <br />,7�C,' - COf�U <br />City . S�ate/Zip <br />City Slatc/Zip � <br />ftt ,.J.A - �i�LL%I Z"s�-IDO$' <br />SmldZio Phone Smte <br />Phone <br />I'hooe <br />�Tni� t,�o,z�� i�o�� � C���ce. �; nte_ <br />Conlract Price of Work , Y posW Usc a( ISuilJing <br />7� I g�� Y 20 F�vH-r---�E��,a W���� <br />Project Addrcss-� \ <br />\ <br />Descnptiwa(Work�aBeDana I GR'l� �S�a%L(L -' ��'i�lC - _ <br />NOTE: \VAC 29G-06440 REQUiRGS THAT PLANS FOR ELEf.'IRICAL \VOIUC AT L-DUCATIONAL, INST1TUi70NAL OR <br />1IGALTH CNtE FACILITIGS DE APPROVED BY THE STATE OF WA5![INGTON. MPLICAMS WCI71 SUCIi JODS <br />MUST SHOW THE STA7'6 APPROVED PLANS BEFORE CITY OP EYERLT PERTUT WILL BE ISSUGD. <br />NOiE WIRING iN NON-DWELLINGS IS REQUIRGU TO BE [N METAWC RACEWAYS (MC AND AC, A]'S CAfiLES, <br />NOT RACfiWAYS). <br />I IIGRL➢Y CF.RTIFY THAT I I3AVG READ AND [XAMINED THIS APPLICATION AND KNOW THE SM1G TO IIG TRUG <br />AND CORRPCT. ALL PROVIS10N5 OP LAWS AND ORDINANCES GOVGRNING TfI1S 'fYPT OF WOR}: WILL llc <br />C.WfPL[TGD W7TH WFiLTHER SPLCIPIED HGIiEIN OR NOi. THL GRANTING OF A PF.RMIT UOES NOT PRESUAIF <br />TO GIVE AUTHORITI' TO VIOLATE OR CANCHL 7}[E PROVISIONS OF ANY OTpER STATE OR LOCAL LAW <br />Ri6L/LATING CONSTRUCTiON OR 7HL PPRFOiU.fANCE OF CONSTRUCTION. THAT I ADf AUTI{CRI"LED IiY TII[ <br />0�4'NLR O� THIS PROPLRTI' TO PERPOR�i THG WORf: FOR WIi1Cl1 APPLICAIION IS �tADG AtiD I CO!.fPL7' N9TH <br />Tilk: tiTA�iE CONTRACTORS I.A\V 18.27 RCW nND 29G.2G�\VAC. <br />tilgnalurc <br />r<. �� <br />Uale <br />I <br />C��, . '; i <br />� � �. ,rr" "� <br />