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3 <br />CfI'Y OF L•VERLTI' <br />BUILDING DIVISION <br />3200 CEDAR STREET <br />EVERE'IT, WA 95201 <br />Teoant <br />APPLICATION FOR �L�CTRICAL P�R1��iI'1 <br />Mail <br />Mail Address <br />�a� ; ' 1 <br />% l.�,y�V�l��Jl1{-r'� <br />c.�•�� �,4�-1r«in�Ir.1�c lo <br />City State/Zip <br />City State/Zip <br />259-8810 <br />Phonc <br />Phone <br />,� „ <br />Electrical Contractor Mail Address Cit State/Zip Phone State I.icense No. <br />•!� S <br />�2 100•� ' <br />Contract Pricc of WorA Propos Use of IIuilding <br />U�r�� C�r�.�2d /�� <br />Projcct Address � <br />Description of \VorA to Bc Donc: f�y "� ` r" � V V I«' ��-�"L�'�'" (� y'�� I i� �'�^ -� � <br />i <br />� ' _ <br />�� <br />�� NOTE: WAC 296-46-140 RLQUiRHS THAT PLANS POR ELEC7TtICAL \VORIC AT LDUCATIONAL, INSTTI"UT[ONAL OR <br />HEALTH CARL FACILITILS UE APPROVL•D IIY THG STA7'E Of ��ASHINGTON. APPLICANTS �VITH SUCH JOBS <br />MUST SHUN THE STAT'L APPROVL•D FLANS IIEFORG CITY OF EVL-RET PL•RA1IT NILL BE ISS[JED. <br />� � � <br />'�'w <br />�. ...� <br />N07'L: WIRING IN NON-DWELLiNGS IS REQUIRL•D TO BL IN METALLIC RACGWAYS (MC AND AC, ARE CABLES, <br />NOT RACEWAYS). <br />I 1IERE•DY CERTIT'Y THAT i IiAVE RtiAD AND EXAbtInED'i3iIS APPLICATION AND KNOW TIdG SAD4L TO IIL TRUE <br />AND CORRL-CT. ALL PROVISIONS OP LA\VS AND ORDINANCLS GOVGRNING THIS TYPL OF WORK WILL BL <br />COMPLLTED WITH H'HLTHGR SPECIFIED i3C•RGiN OR NOT. 7'Hti GRANT'ING OF A PERMIT DOL•S NO'C PRESUME <br />TO GNL AUTHORITY 'f0 V10LATE OR CANCGL TfIL• PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br />REGULATING CONSTRUCTION OR THE• PLRFORMANCE OP CONSTRUCTION. TIiAT I AM AUTHORIZLD BY THE <br />OWNLR OP TH15 PROPERTY TO PL•RPORAI THG \VORR FOR NHiCH APPLiCATION IS D4ADE ANA I COb1PLY WiTH <br />THE STATL CONTRACTORS LAW 18.27 RCW AND 296.200 \\'AC. <br />X <br />Signati�rc <br />Da�c <br />I /� �� .�— <br />)'� <br />ciccapp (!/5/9J) <br />