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CITY OF EV[RE•TT <br />IIUILDiNG DIVISION <br />3200 CLDAR STREET <br />L• VERETT, Wp 98201 <br />%� <br />Owncr <br />Tenant <br />Liatriwl Contractor <br />Contract Fnce of Work <br />, <br />�l <br />APPLICATION FOR �L�CTRICAL P�RD�II1' <br />Mail <br />Meil Addreu <br />7 ee N/ Qo".� ri .yc <br />Mail Address <br />S 3// t,� A�a/,L,e+�,r��iei <br />r�o�u� naa�� ' <br />Ciry <br />City <br />4 efr <br />� <br />SntclZip <br />sm��zt� <br />rhone <br />����1� <br />� <br />259-88f0 <br />Phone <br />Phone <br />G.E `, <br />�7�w��G,n.�c —srf� <br />, <br />Proposed Uu of IIuilding <br />No. <br />Dcscnption of RbrA lo Dc Dnne: �/i �� � r L I/ /' Q e <br />,� l�_� �• ,:�-�- ,.t— D�/� / T�}�-_ <br />—� <br />NOiL:11'AC 29G�5G-140 REQUiRLS THAT PLANS FOR ELECI'RICAL \VORK AT EDUCATIONAL, INSTITUTIONAL OR <br />HEALTIi CAi2L PACILITf[S DE APPROVED UY TI{E STATL OF WASHRJGTON. APPLICANTS WI'['H SUCH ]OBS <br />�f UST SHO1V THG STA'I'H MPROVED PLANS ➢EFOILL CITY OF EVERE'f PER1dIT W1LL BE ISSUED. <br />NOTE: WIRING IN NON-DNL-LLINGS IS REQUIRLD TO UL IN �tEI'ALLIC IL\CGWAYS (11C AND AC, ARE CAIILES, <br />NOT 3iACEWAYS). <br />I HER06Y CHRTIFY THAT 1 FiiWE RL-AD AND L•XA�tINHD TfiIS APPLICATION AND I:NOW THE SN.fE TO ➢E TRL'E <br />.VJD CORRLCT. ALL PROVISIONS OF LAWS AND O}iDINANCGS GOVLPNING THIS TYPI OP WORK N9LL IIG <br />C0�1FLE•TGD WITH \VHET7{GR SPECIFIGD HGRLIN OR NOT. 7'HE GRANTING OF A PGRMIT DOHS NOT PRESUME <br />TO GIVE AUTHORITY TO VIOLATG OR CANCGL THE PRO\qSIONS OF ANY OTHER STATE OR LOC,'�L LAW <br />RLGULATING CONSTRUCf10N OR 7HE PL•RPORAtANCE Or CONSTRUCTION. THAT 1 AAf AUTHORIZED llY THE <br />O\VNER OP THIS PROPERTY 70 FERFORhf TNE NORF: FOR N'FIICH APPLiCATION 1S D1ADG AND I CO�7PLY WIT}I <br />TfiE STATH CON7RACfORS LAW 18.27 RCW AND 296.200 WAC. <br />Sienalurc Dale <br />�!!l <br />Fce �� <br />d.<.rr OiSm» <br />