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CITY OF EVGRL•TI' <br />➢UILDING DIVISION <br />320D CEDAR STRL-EI' <br />LV[R6'IT, N'A 9&201 <br />Tenanl <br />APPLICATIOY rOR �L�CTRICAL YGI2MIT <br />Mail <br />Mail <br />� <br />259-88f0 <br />�w,�-t+ 1oi1 �ISzc•i ���-� r�si <br />City StaWZip Fhone <br />Cily SuldZip <br />Plrctncal Contnctor Mail Address City SmtdZip Yhone <br />��_��r�l��l ��u �-u�cu ���C�C'� u�[rGl'� "' <br />Contract Pnce of Work Propoud Uu of Duilding <br />- _�. � IYFE� �'l�� R_ i"1('. �.ti.' <br />I'roject Addrcss <br />Descriptiono(K'orklo6eDone: 1�1)'.f'/if+C ����P�4t1� �'��ip-i-��fl� <br />J <br />State <br />NOiE: N'AC 296-06-I40 REQUIRLS TIiAT PLANS POR ELECTRICAL \VORK AT L•DUCATIONAL, INSTI"IVTIONAL OR <br />HEALTH CAltt PACILITIi55 I3G pPPROVLD UY TIiE STATE OP WASHINGTON. MPLICANTS NTTH SUCH JOBS <br />MUST SHOW THG STAi'C• APPROV�D PLANS DEFORE CITY OF LVL•RET PERMIT N'ILL DG ISSUED. <br />NOTG: WIRING IN NON-DN'ELLINGS IS REQUIRGD TO BE IN �fEfALLIC RACEWA)'S (MC AND AC, A}iH CAIILLS, <br />NOT RACGWAYS). <br />I HFREDY CC•RTIFY THAT f HAVG READ AND E•XAMINED THIS APPLICATION AN� KNOW THE SAML• TO DE TRUL- <br />AND CORIttCT. ALL PROVISIONS O� LAWS AND ORDINANCES GOVERNING i191S TYPE OF K'ORK �4ILL 23E <br />COTIPLGTGD N7TH N�3ETIIGR SPLCIPIGD HERGIN OR NOT. THH GP,AN77NG OF A PERA7IT DOES NOT PRFSUMF <br />TO GIVH AUTHORfTY TO VIOLATE OR CANCEI. THE PRO\'ISIONS OF ANY OT1i[R STATE OR LOCAL LAN' <br />REGULATING CONSTRUCTION OR THG PLRPORMANCE OF CONSTRULTION. THAT 1 AM AUTHOH:ZED BY THE <br />OWNGR OF THIS PROPGRTY TO PERFORM THG WORK FOR WFi1CH APPLICATION IS MADE AND I COMPLY WITI{ <br />TIIE STATC CON7RACTORS LAW I8.27 RCW AND 296.200 WAC. <br />�_ � � � �� / '. <br />X • / / <br />�__� � �i-�.i � ' `" .. <br />Signaturc <br />/��j �CS� <br />-/7' <br />Dalc <br />e1ec�PC 0/: �9i) <br />