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� -- <br /> APPLICATION TOR�LECTRICAL PGRNIIT <br /> CITl'OF EVERLTT � <br /> BUILDING DIVISION <br /> 3200 CGDAR STREET <br /> L•V6RETT,WA 98201 <br /> 259-88f0 <br /> �- /J/' / <br /> ..-C�/i<i / l•,�� �fT ��/L//l� %ii� //ii�DJ /i4� ' 'if'l I l�l�l--��7� <br /> Owner h1a�1 Addrect Ciry State/2iP Phone <br /> Twant 1lail Addrrss City SL�telZip � Phonc <br /> 'TL--/l <br /> L•leclriwl Con:ractor Mail qdJrtu City SIa1rJZip Phene SNte License No. <br /> .SFie'- ._2��� .4n�n <br /> Contracl Price of Work Proposed Use of IIuilJing <br /> �S�?i � ����ic.�L�:..� f- -> hr,.�� <br /> Projat Address . <br /> /� / i <br /> Ducriplion of Work to Be Done: /1(c! �f'<�'l / �/�Y-/it� <br /> NOTE:WAC 296-06d40 REQUIRES THAT PLANS FOR ELECCRICAL WORS AT LDUCATIONAL,INSTITUTIONAL OR <br /> HEALTFi CARE FACILCIES DE APpROVED DY 7HE STP:lE OF WASHINGTON. APPLICANTS WITA SUCH )OBS <br /> MUST SHOW THE STATE APFROVED PLANS HEFORG CffY OF LVERE'C PERTfIT W1LL BE ISSUED. <br /> NOTG:WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACLWAYS(MC AND AC,ARE CA➢LFS, <br /> NOT RACEWAYS). <br /> 1 IILRL•U1'CHRTIFY TFIAT I HAVE READ AND EXADIINED THIS APpLICATION AND KNOW THE SAME TO DE 7RUE <br /> AND CORRECi', pLL PROVISIONS OF LA\VS AND ORDINANCES GOVERNING THIS TYPE OF WORK N'[LL ➢E <br /> N�IPLETED WITH WHETHPR SPECIFIED HEREIN OR NOT.TNE GRAN'1'ING OF A PGRMIT DOES NOT PRES[It.4E <br /> TO GIVE qUTHORITY TO VIOLATE OR CANCEL T}3G PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATMG CONSTRUCTION OR THE PERFOR}.{pNCE OF CONSTAUCTION. THAT 1 Mf AUTHORIZLD BY THE <br /> ON'NGR OP THIS PROPERTY TO PERFORtd THE WORf:FOA WHICH Ai'PLICATION IS MADL•AND 1 COM1IPLY N7TH <br /> 'I'HG STATG CON'1'RACTORS LAW 16.27 RCW AND 296.200 WAC. <br />- � ��.���-��rll--1 �o-�� �� �� <br /> SignaWre p��� <br /> - �j0 <br /> �. <br /> �2� <br /> d«.ro O�sro» <br />