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i <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> CCtY OF EVHRETf � <br /> Ht1IIDRi0 DMSfON <br /> 3200 CEDAR SCREE[' <br /> EVEREI'f,WA 98201 '. <br /> 25Y-tC10 <br /> '�1euX� /779/f'✓oro�l�r/Y� �/s�o lvx�9S�,i'�6 ,2�»�-vsii <br /> Owoer Mul Addrea Ciry SUWZip P6one <br /> <� <br /> T � Mul Addieu . . City SUWZip � py� <br /> [orr�oohF�n/h�c /.CS03 .2�STNF ,(��vPnsW y}'f�5��33�1�/I57J(e�r%��07� .B <br /> E,fliaviul Cootncbr Mai1 Add�rsc Ciry S�ate/Zip Phooe Shte licmae No. <br /> �{�1�.'V��� �i�i��.$-/erP <br /> Contncl Pria of Wmic Pmposed Use o(Huilding <br /> 1QlO 1f+wr� F✓arr7l` <br /> Pmject Addivs . <br /> Ikacriptioo of Work ro Be Done. Hi v /0 c o.r�� p �� n�Q� wi n.s '{a n <br /> �Dv�pTS <br /> � NOTE:WAC 296d6-140 REQUIRES THAT PLANS FOR ELECCRICAL WORK A'f EDUCATfONAL,INSTfIVT[ONAL OR <br /> HEAI.7}{ CARE FACQ.f7'[ES BE APPROVED BY TI{E S7ATE OF WASE�NGTON. APPLCANTS WffH SUCH 70B5 <br /> MUST SHOW 171E STATE APPROVED PLANS BEFORE CITY OF EVER6('PERMIT WILL BE ISSUF D. <br /> NU7'E:W1RQ�10 IN NON•DWELLINOS IS REQUIRED TO BE M METALLIC RACEWAYS(MC AND AC,ARE CABIFS, <br /> NOT RACEWAYS). <br /> 11$REBY CERTffY THAT 1 HAVE READ AND EXAMfNED TFi15 APPLICATfON AND KNOW 7'FiE SAME TO HE TRUE <br /> AND CORRECI'. AL[, pROVISiONS OF LAWS AND ORDINANCES GOVERMNG THIS TYPE OF WORK N7I1, gg <br /> COMPIFfED N7'[H WHEIHER SPECIFfED HEREQ�1 OR NOT.THE GRANT[NG OF A PERMIT DOES NOI'PR&SUME <br /> TO aIVE AUTHORITY TO VIOLATE OR CANCEL TFi6 PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> RE6ULATM6 CONSTRUCf70N OR THfi PERFORMANCE OF CONSTRUCI70N.TFiAT 1 AM A17fHORIZEp BY Tf� <br /> ONTIER OF'I7iIS PROPERTY TO PERFORM'f'E�WORK FOR WHICH APPLfCATION IS MADE AND I COMPLY WR'H <br /> THE STATE CONTRACTORS IaW 18.27 RCW AND 296.2W WAC. <br /> X <br /> � � t p.9 Fa (aa <br /> SiPnaN . Date <br /> i . i �/ <br /> �6��u <br /> Neupp prSN7) <br />