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�: <br />( : �� or Fvr2r:'t'[' <br />1tLIILpING DIVISION <br />3200 CEDAR SI'REET <br />GVL•R.GT"i, WA 98201 <br />Owncr <br />A.k'1'LTCA'rrorr roxz rLrc�rrucn.i, �rztn�c�� <br />Tleil Addrtss <br />Addrrss <br />- /, ci('_�iS <br />; -�_._ :�:' <br />C � "%; �' > <br />City StatdZip <br />City Stale!"Lip <br />�� <br />l 1���� <br />259-8810 <br />Phont <br />Phona <br />.� 1� ��.��=r�� ��i� i�l�f 3�- �„A�li�'-��. _��=�1 �t�i� �i4�'��i�rPzz���s ��-,,�°rys�= <br />L'Iratrica (.untrnctor Mail Address Cily SlntelZip Phone Sb.ite Liccnse l�o. <br />��� � �r) <br />� � 1 �' Fi� � r-' <br />Coiilracf Price of Work I'roposrd Usa of Building <br />�--/ � / .� � <br />, J. � " i` 0<� �i:�l . �7 <br />Projcct Addra�s • � <br />� scription of Wurk l0 33c Done: <br />NOTE:IVAC 29f-0Gd40 REQIIIRES THAT PLANS fiOR ELEC1'R1CAL WOFtK A'C EDUCATIONAL, INSTITUTIONAL OR <br />IiTiN,TI{ CARL• FACILITIGS DE APPROVED Dl' THE STA1T OF WASi1WGTON. APPLICANTS W1TH SUCH ]OBS <br />MUS'1' SHOW THG STA7E APPROVEU PLANS BE�Ok& CI'PY OF EVSRLT PERMIT WILL I{E ISSULD. <br />N07'E: W1RING IN NON-AWkLI_1NG5 IS REQUIR6D 7'O EE IN METALLIC RAC&WAYS (A4C AND AC, ARG CADLF.S, <br />Np7' 1:ACL'WAYS), <br />1 HEREBY CGRTIF1' TIiAT I F{AVE RFAA AND HXAMINF.A THIS APPLICATTON ANp KNOW THE SAME TO BE TRUE <br />AND C01tRECT. ALL PROVISIONS OI' LA1YS AND O}tllINANCGS GOVERNING THIS T7'FE OF WURK WILI. AF. <br />COr4F'Lk'TED WITH WHETHER SPECIfIED EiEREIN OR NU'1'. THE GRAN'fiNG OF A PERMIT DOLS NOT FkESUNiE <br />TO G1VE AUTEiORITY TO VIOLATF. OR CANCF.L THE PROVISIONS OF ANY OTHEF STATE OR LOCAL LAW <br />RFGULATING CUNS'1'KUCf10N OR THE YGRFORMANCG OP CONSIRUGTION. THAT I AM AVTHORIZED BY THH <br />U1VNE1: OP THIS YkOPF.RTY TO PERFORM TNF.11'OR}: FOR 1YHICH APPLICATION IS bfADE A1JU I COMPLY WITII <br />TIIL• S7'A'l�G CO�TItACTURS LAW 18.27 RCW AND 296.2D0 \1'AC. <br />i".'j <br />Sig,naturc <br />�JflIC <br />