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� <br /> APi'LICATION FOR ELECTRICAL PER1�fIT <br /> crrv or EveRErr � <br /> BUfLDING DIVISION <br /> 3200 CEDAR 57REET <br /> GVERE7T,WA 98201 <br /> 259-88f0 <br /> � v <br /> ( ' �.� i - :>.��-/C���<a� :�2•%= �% x;,- E�,y-�.;..a, <br /> Owuer � Mail Address � City 'Sutd2ip Phoae <br /> Tenmt � - - Mail Addfecs - Ciry SlatdZip � Phone <br /> T�-// <br /> Plectrial Contraclot Mail Address City SIaldZip Phooe Stale Licenm No. <br /> G� u�-'rl/�iy� <br /> Conlracl Frice of Work Proposed Uu oBuilding <br /> i <br /> S��;J� f�.��:�.;1�:, . Lct J: <br /> Project Address � <br /> Dcuription of Work to Be Done: ���'i /�'�< <-1• - <br /> NOTE:WAC 296-0fi-140 RLQUIRES THAT PLANS POR ELECfR1CAL WORK AT EDUCATIONAL,INSTTTUTIONAL OR <br /> HEALTH CARE FACILITI65 BG MPROVED BY THE STA'CE OF WASHINGTON. APPLICANTS N7TH SUCH JOBS <br /> T1UST SHOW TF�STATE APPROVED PLANS BEFORE CI'CT OF EVERET PLINfIT WILL DE 155UED. <br /> N07'E:WIRING IN NON-DWELLINGS IS REQIDRED TO BE IN METALllC RACEWAYS (MC AND AC, ARE CABLGS, <br /> NOT RACEWAYS). <br /> I]iEREUY CERTIFY THAT I HAVE READ AND E�ADIINGD THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br /> AND CORRECi. ALL PROVISIONS OF LAWS AND OItDINANCES GOVERNING THIS TYPE OF WORK WILL HE <br /> COTIPLETED W1TH WHE•THER SPECIPIGD HERL•IN OR NOT.THE GRAN'IING OF A PE•RA41T DOGS NOT PRESUME <br /> TO GIVL• AUTHORITY TO VIOLA7E OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL V.W <br /> RL•GULATING CONSTRUCTICN OR THL PL•RPORhfANCG OF CONSTRUCTION. THAT I AM AUTIiORIZED BY THE <br /> OWNHR OP THIS PROYGRTY TO FERFORM THE WOR}:POR R7ifCH APPLICATION IS AfADE AND 1 COMPLY WITH <br /> T71G STATG CONTRACIORS LAW 18.27 RCW AND 29G.200 WAC. <br /> � �':,�� .�i�� /.�.%. [� c�'-1�''`,"� Fce �� <br /> Signaturc �� Da1e <br /> L���2� � <br /> �i.�.rr Oisro» <br />