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AQPLICAT�JIV FOR ELECTRiCAL NERMIT <br />���� (9C J <br />��� <br />2ss-asrc <br />U J <br />r <br />c<n oF Evr.�err <br />BUIIDING DIVISION <br />32GJ CmA;t STREET <br />EVERcTT� NA 98207 <br />. ����. 9 �d ��i �<; z- 9yz7 <br />ity tate i� Phone <br />enant Mail ddress ity tate ip hone <br />�r7F'-I <br />���, �l i'��<<i�zl� ��rS Iv2uiUr_-F�_ !=�- �v�- �i4�oi z5�-Y3Y7 M��itii��79�r' <br />ectrical C ntractor Mail Address ity 3tate Zip hone tate Cicen;e�— <br />,� /— JC <br />ontract Price o Work Preposed Use of Building <br />�''/D % /�fof�% /f(/� <br />Pro�ect Atldress <br />Di;crption of Work To ec Done: I�>STIFC.L �UJ i- ��.!r� �,-� I�� -.' L'r�� ,�,- <br />� �rw�i���. i=iRr D���>�� <br />�7 <br />NOTE: WAC 296-46-740 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, I�JSTIiUiIONAL OR HEi�LiH CAFE FACILITIES <br />BE APPROVED BY TH� STATE OF WASHINGTON. APPU CANTS WITH SUCH JOBS MUST SH019 THE STATE APPROVED PLVlS �EFORE A <br />CITY OF EVEREii PERMIT WILL 6E ISSUED. <br />NJiE: WIRING IN tlON-DSELLINGS IS REpUIRED TC BE !N COI+DUIT. <br />I HEREBY CERTIFY THAT I NAVE READ AND' EXAh11NE� 7H15 <br />APPLICATION AND KhOW THE SA�AE TO BE 7P,116 AND CORRECT. ALL <br />PqOVISIONS OF LAWS AND OFOINANCES GOVERNING THIS TYPE OF <br />WORf: WILL BE COMPLE7ED WITH'NHETHEF SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUh1E TO GIVE <br />AUTHOFITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL IAW REGULATING CONSTRUC710N OR THE <br />PERFOfiMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY T}iE <br />OWNER OF THIS PROPERN 70 PEflFORM THE VlOFiK FOR ';1H!CH <br />APPLICATION IS MADE AND I COMPI.Y WITY THE STATE <br />CONTRACTORS LAW 18.27 FCW AND 296.200 WAC. <br />X '��(/--�( ! , %--f "�� '� ,� _ - <br />Sig ature �j � _ _ Datc <br />FEE � �-�� <br />