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crrv or svExEErr <br />➢UII.DING DIVISION <br />3200 CLDAR STREET <br />EVL•REIT, WA 98201 <br />Tenanl <br />Elatriul Conlractor <br />���.i <br />,�r� <br />Contract Price af Work <br />r <br />APPLICATION FOR �LECTRICAL PERMIT <br />CI �-��. <br />� <br />Mail Address <br />Mail Addrcss <br />Mail Addmss Ciry <br />� <br />C �„ <br />Ciry <br />City <br />Pmposul Uu of IIuilding <br />� <br />259-8810 <br />� U<RGC `�i <br />SlatdZip P6one <br />StatclZip P6ouc <br />;��� �� „ �,� c� ��r_, <br />Phone SGIe Liceou No. <br />�/9"35 � /',cc-Y�r., f���e <br />S'roja� Addrrss . <br />Dcscription of AVark b Be Done: _ � �' � ✓' �i c� � � �( ^ �S .��-y- � l� ^ � i � P S' <br />— � <br />� . � N� C, <br />NOTG: WAC 296-06-140 RLQUIRFS THAT PLANS FOR ELECTRICAL WORK pT L•DUCATIONAL, INSTITUTIONAL OR <br />HEAL97a CAIiE FACILiTIES BE APFROVED DY THG STATE OF WASHINGTON. APPLICANTS WITH SUCIi 7065 <br />MUST SHOW THE STATG APPROVED PLANS BGFORE CITY OF L-VLkET PERMIT WILL BE ISSUED. <br />NOTG: WIRING IN NON-DWGLLINGS IS REQUIRL•D TO DE IN NGTALLIC RACEWAYS (A1C AND AC, ARE CAI3LES, <br />NOT RACEWAYS). <br />1}iFRGDY CERTIFY TIiAT ( HAVE READ AND EXAMINED TI{IS APPLICATION AND KNOW THE SAAfH TO DG 7RU[ <br />AND CORRECT. ALL PROVISIONS Of LAWS AND ORDINANC[5 GOVL•RNING THIS TYPE OF WORK WILL BE <br />COh1PLLTED WITN N'19GTHER SPGCIPIGD HGRLIN OR NOT. THE GRANTING OF A PERA!IT DOES NOT PRESUME <br />TO GIV6 AUT}IORITY TO VIOLATE OR CANCGL THG PROVISIONS OF ANY OTf{ER STA7'E OR LOCAL LAW <br />RL'GULATING CONSTRUCI'ION OR THE PL•RFORMANCE OF CONSTRUCiION. THAT 1 AM AUTHORIZGD BY THH <br />OWNL•R OF THIS PROPGRTY TO PERFORM THG WORK FOR W}ifCN APPLICATION IS MADE AND 1 COMPLY WITH <br />T}{G STATE CONiRACI'ORS LAW 18.27 RCW AND 29G.200 WAC. <br />g �: r/ � <br />i <br />_ '"�C'c 7 -�•' �� �- �� ^ /� -� Fce .'rC � <br />Signajurc Dalc <br />� <br />���t'��J <br />eie<.rr �rsro» <br />