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� z <br /> APPLICATION rOR�L�CTRICAL P�RMIT <br /> crrv or av�iccrr � <br /> DUILDING DIVISION <br /> 3200 CEDAR STREE'C <br /> EVEREfT,WA 98201 <br /> 259-88f0 <br /> �,u �1e,�1' /�y.�X 5�3�.0 ��dc ti-� �.t�,�, ;,,,v C�i��('y� <br /> Ouver Mail Address City , Stat ip Phone <br /> d'�� L <br /> Tenanl - � � Afail Address . City StaldZip - Phouu <br /> 4s3-G/3T <br /> G�tT� �'�Pc%ii,l� /�Jjo7, .�H�a`� �in�r ��vJ �/�1A.�y3 C-L.rE/L 132ay <br /> Glectrical Contractor Mail Addrcss Ciry StatdZip Phone � Slate L/icenm No. <br /> o7�JD� ��S/i�P.V%/� L ^ /(JlL�I GC/7�-/G <br /> Comracl Price of Work Proposed Uu o(➢uilding <br /> is���- �.�,� Dz ��,� � ,5� <br /> Projat Address . <br /> Ducriptioo o(\York lo Be Done: /��DL d17L/� �.f.�.! <br /> / <br /> NOTE:WAC 296-06•I40 RL•QUIRES THAT FLANS FOR ELECTRICAL WORIi AT EDUCATIONAL,INST[TUTIONAL OR <br /> HEALTIi CARB FACILiTIGS ➢E APPROVGD BY THG 5'I'ATE OF WASHING'fON. APPLICANTS WITH SUCH JODS <br /> AfUST SHOW THE STA7'E MPROVL•D PLANS BEFORE CITY OF LVE•RE'f PERMIT WILL DE ISSUED. <br /> NOTE:WIRING IN NON-DWELLMGS IS REQUIRED 7'O BE M MEI'ALLIC RACEWAYS(MC AND AC,ARE CAHLES, <br /> NOT RACEWpYS). <br /> 1 HERLUY CERTIPY THAT I HAVG READ AND EXAMINED THIS APPLICA770N AND KNOW THG SMSL•TO➢E TRUL• <br /> AND CORRECf. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF \1'ORK WILL BE <br /> CO�IPLG7'L•D\VITH WHI:I'HHR SPECIFIED HEREIN OR NOT. THG GRANTING OF A P'eRAi1T DOES NOT PRGSUMG <br /> TO GNL AUTffORITY TO \90LATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> RLGULATING CONSTRVCTION OR THG PERFORMANCE OF CONSTRUCI'ION. THAT 1 AA1 AUTHORIZED BY THG <br /> O\VNGR OF THIS PROPL•RTY TO PERPORM TFiE WORK FOR WHICH AFPLICATION]S AiADL AND 1 COMPLY WITH <br /> THG STATE•CON7RACfORS LAW 18.27 RCW AND 296.200 WAC. <br /> � <�����Gi.aJ�r / �/��/y_� �� -- <br /> s /� ^ F���JJ <br /> Signalur� � �r Dale <br /> a«.rr Pisro» <br />