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� . <br /> APPLICATION FOR �L�CTRICAL P�RMIT <br /> crrr or•Evet�rr � <br /> DUILDING DIVISION <br /> 3200 C[DAR STREGT <br /> EVERE!'1',WA 96201 <br /> 259-BB10 <br /> ��1.D�111 l ��1�1 -�1 <br /> Owner Mail Address City SlatdZip Phone <br /> Tcoant - piail Address City StatclZip Phone <br /> L�n�S=��l L�L(-(�z'L'\(� , <br /> Electrical Contncror Mail Addrcss Cily SmldZip Phone SUIe License No. <br /> Contract Price of WorA Proposed Use o(Duilding <br /> �105 n��v-v •,��� t ti\ . �ip� �>> <br /> Project Address� . <br /> Descriptioo of Work to Be Done: <br /> NOTL•:NAC 296-06-140 RLQUIRES THqT PLANS FOR ELGCTRICAL WORK AT EDUCATIONAL, INSTINf10NAL OR <br /> HEALTH CARL• FACILfIILS DE APPROVED IIY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH ]OQS <br /> p1UST SHOW THE ST.47t APPROVGD PLANS BEFORE CITY OF EVEREI'PL•RMIT WILL DE ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIR[D TO DE IN METALI.IC RACEWAYS(MC AND AC, ARE CASLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY THAT I HAVG READ AND EXAhfINPD THIS APPLICATION AND KNOW THE SAA1C•TO HE TRUG <br /> AND CORRECI'. ALL PROVISIONS OF LAWS AND ORDINANC[5 GOVERNING THIS 7YPE OF WOR}: WILL DE <br /> CO�IPLETED 1VITH WHETHGR SP6CI�IED HL•RE[N OR NOT.THE GRANTING OF A PERI.SIT DOFS NOI'PRESUM1fE <br /> TO GNH qUTHORITY TO LA OR NCL•L TNE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> AEGULATING CONSTRU ON THE PG FORASANCE OF CONSTRUCTION. THAT 1 AM pU7'}{ORIZED UY THE <br /> OWNGR OF THIS PROP TY T F�ERFORM IiE WO{U:FOR WHICH APPLICATION IS MADE AND I COMPLY NTTH <br /> TI1E STATG CONTRA�ORS L W 18.27 R AND 296.200 WAC. <br /> / <br /> � �j(, �;- � jZ <br /> r� <br /> Signatur• � Dale <br /> cl<aepp(JBr97! <br />