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� ^ <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> C[TY OF fiV&RfiTC <br /> BUQDINO DMSION <br /> �?AO CEDAR STRfiET <br /> fiVfiRfiTT.WA 95201 P59-8Bf0 <br /> 7��. S-I LG <br /> LENf2qL l�/EtA/MGi 5�/PP[.y /q/C', �oX SISS�f3v/ �001�/ Stv L-�n�woon w.o. �jPo3G . <br /> p�� M�II Addrma City State/Zip P6aae <br /> �_ <br /> I Tao�ot . M�il Addrest . City State/Zip Phone <br /> ' $Ho�n� Si�N i�� /'Io3� Au�eax�a A►E, A/, �54TtGE Wiv 9h33 �f��Fq37 SNr�Si2o�et.. <br /> g�xtrip�Contractor MW Addrou Ciry SbtelZip Phone S4te Lcenro No. <br /> �i # e�-F�'0, r—° l�iviN� SvO/L�&s <br /> , Contnet Pri�e of Work Propoaed Uae of Buildio` <br /> ', 1S3G �Wi7T A�, <br /> • Ptojxt Addras ' <br /> De�criptioo of work to Be Dooe: /NST��-L— ��CTi�/C �/RGL Sl(all/ <br /> I <br /> i <br /> i <br /> 1 <br /> iNOTS:WAC 2%-46•140�REQUII;&S THAT PLANS FOR fiLECTRICAI.WORK AT EDUCATIONAL, WS'CITUTlONAL OR <br /> � HBAL'fEl CARfi FAQLiTlES BB APPROV6D BY 'IfiB STA'ffi OF WASHINGTON. APPLICANTS W1Tfi SUCH lOS3 <br /> � MUSf SHOW THB STATS APPROV6D PLANS BHFORH C1TY OP EVERET PEIWITT WII.L BB ISSUfiD. <br /> � NOTB:WIRINO W NON-DW6i.LIIdaS iS RfiQUIRSD TO S&IN METALLiC RACfiWAYS (MC AND AC, AR&CABLES, <br /> � <br /> � NOT RACfiWAYS). <br /> I H6R68Y C6RTlFY THAT I HAVE READ ANU EXAMIN&D THIS APPLiCATION AND KNOW TFI6 SAMH'f0 BH TRUfi <br /> /WD CORRfiCf, ALL PROVISIONS OF LAWS AND ORDWANCFS GOV6IWINO 1'HIS TYPB OF WORIC WII.L B& <br /> CpMpLg['Sp WPff; Wf�s7'E�R SPEQFIED H6R&IN OR NOT. TH6 GRANTINa OF A PERMTf DOfiS NOT PRESUME <br /> TO f3N& AUTHORITY TO VIOLAT& OR CANCEL THS PROVISIONS OF ANY OTHER STATB OR LOCAL LAW <br /> REOULATINO CONSTRUC170N OR THfi PfiRFORMANCE OF CONS'fRUCI70N. THAT I AM AUTHORiZ&D BY THfi <br /> OWNER OF THIS PROPERTY TO PERFORM TH&WORK FOR WHICH APPLICATION IS MADE AND I COMPLY Wl7'fi <br /> 7'H&STATB CON1RACi'URS I.AW 18.27 RCW AND 296.200 WAC. <br /> , <br /> x �i��,-..�� �4 7�-s.r Fa �° <br /> g Siemturo D�te <br />, <br /> i ��9a� .i«.��isroa� <br /> I <br />