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r <br />APPLICATION FOR ELECTRICAL PERMIT <br />C1TY OF fiV&RETT <br />BUII.DINa DMSION <br />3200 CEDAR STRfifiT <br />fiVERfiTT, WA 982(11 <br />� ��� l /�'�/i�� 3�+-� , <br />� Ownx MW Addrees <br />c�ey s�p <br />/,� -. <br />,� <br />� <br />P6one <br />Teomt .. . M�il Addrese . City Stateltip • Phoae <br />�� <br />d Cmtr�ctm M�il <br />City <br />PLone <br />State I�ceo�e <br />Contrat Price of Wort Propoeed Usn of Building � <br />� <br />Prqject Addt� <br />De�iptian of Wwt to Be Dooa <br />NOT6: WAC 296-16-1�0 RfiQUIRF�S THAT PLANS FOR &LECTRICAL WORg AT EDUCATIONAL, INST1TU110NAL OR <br />H6ALTH CARB FACIIITlSS B& APPROVED BY 1iI& STAT& OF WASHIId1CTON. APPLICANTS WiTH SUCH JOBS <br />MUSf SHOW TFffi SfATE APPROVED PLANS BSFORfi GTY OF fiV6RET PERMTf WII.L H& ISSU6D. <br />NOTS: WDt1Nd IN NON-DWELd.WOS IS REQUIRfiD TO SH W MECALLIC RAC&WAYS (MC AND AC, ARH CABLBS, <br />NOT RACEWAYS). <br />I H&RfiBY CSR'!'IFY THAT I HAVfi READ AND EXAMINED THIS APPLICAITON AND KNOW THH SAME TO B& TRUS <br />AND �RRECf. AII. PROVISIONS OF LAWS AND ORDWANCES GOVERNING TE�S TYPE OF WORg WILL BE <br />CpMpI,ECED WPCH WFIEff�R SPECIFiED HEREW OR NOT. THE GRANT[NG OF A PERMTf DOES NOT PRESUME <br />TO GiV& AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STAT& OR LOCAL LAW <br />REC3ULATING CONSTRUCTION OR Tf� PERFORMANCE OF CONSTRUCIION. THAT I AM AUTHORIZ6D BY Tf� <br />OWNER OF THIS PROPERTY TO PfiRFORM TI� WaRK FOR WHICH APPLICATION IS MADE AND I COMPLY W1Tfi <br />TFIE STATE CONTRACfORS LAW 18.27 RCW AND 296.7A0 WAC. <br />x '��G�,,,�,�,cf ��� /�- �� f 3 <br />Siyoaturo D�te <br />�a9a.� <br />Fae�_ <br />��.P, �,5,�, <br />