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AI'PLICATION TOR CL�CTRICAL YTRMIT <br /> C[TY OF EVERGTT � <br /> DUfLDING DNISION <br /> 3200 CE•DAR STREET <br /> EVEREI'I',WA 98201 <br /> 259-8870 <br /> .�.G_Jres �}zPr �( 12�1 y4i'' 8� « �l, k I+P� I��V1 �1��-75 �6-88&L <br /> Owner TSail Addrcss i�y SlatdZip Phone <br /> �GO, v� TCM U Xoll ��71� Moo�g ��arol� Inn 9 2�1 356-�Z <br /> Teomt � Ma�i Address` Ci�y Sm� /Zip � P6one <br /> `.4�rn� ��zrrl[k �nPr 71?6 44'�PI b�i�{��k� l� � �i 4t 9k�n 3�-8kfiz <br /> Elmtncal Contnclor Mul Address Cdy SUtdZ�p Phone Slate License No. <br />� Yl —� Vv��I„� IOfI�G,.'f1G I <br /> Contacl Price of Work Proposed e of➢uilu:ng ` � <br /> �7� �� �� �!O/� <br /> Projwt Addrus ' (� <br /> Descriplion1 of Work lo Be Done:S f\(I N �� 11��Y`'� ��fe �Q� � 20`� \ 1 I�LU� <br /> _ (-Y�Y.�J' nn11C� Q � u1�G iirecx �U �1(1�1CP F t�y 1Y�f ft R o <br /> ��cY�ti <br /> � NOTE:\VAC 29fi-46-140 REQUIRES'fHAT PLANS FOR ELECI'RICAL WORK AT EDUCATIONAL,INSTI7'UTIONAL OR <br /> HEALTH CARE FACILITfES DE APPROVED BY TIiE STATE OF WASHING'fON. APPLICANTS WI7H SUCH ]OBS <br /> MUST SHON TEE STATL•pppROVED PLANS BEFORL CITY OF EVLRET PERMIT WILL BE ISSUED. <br /> 140TE:WIRING IN NON-DWELLiNGS IS RGQUIRED TO BE 1N DfETALLIC RACEWAYS(MC AND AC, ARE CABLES, <br /> NOT RACEN'AYS). <br /> i HGREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA7'(ON AND KNOW THH SAML•TO➢E TRUE <br /> AND CORRECT, pLL PROVISIONS OF LAWS AND ORDINANCGS GOVF.RN]NG THIS TYPE OF WORK WILL DG <br /> COMPLGTGD WITH WI;L•'I'}IER SPECIFIGD HEREIN OR NOT. THE GAANI'ING OF A PE•RASI'C UOES NOT PRLSUME <br /> TO GIVE AUTHORITY TO VIOLATE OR CANCEL THG FROVISIO4S OF ANY OTIIGR STATG OR LOCAL LAW <br /> I2L•GULATING CONSTRUCTION OR THE PBRFORMANCE OF CONSTRUCi]ON. THAT 1 AM AUTNORIZED BY THE <br /> OWN[R OF THIS pROPGRTY TO PGRPORM THE WORK FOR N991CH APPLICATION IS MADG AND I COM"LY WITH <br /> TllG STATL•CONTRACfORS LAW 18.27 RCW AND 296.200 WAC. <br /> X <br /> -�., - r-y3 `� :�� <br /> gnahire Da(e <br /> ��� � L��[��� <br /> �i«.rv�isro�l <br />� — <br />