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CITY OF EVERLTT <br />PUILDING DIVISION <br />3200 CEDAR STRLET <br />EVEREIT, WA 96201 <br />o,�n�� t <br />�rcr�ti2D <br />Teoant <br />F SG i <br />Hleclriwl Contraclor <br />Cantra<t Price of \Vork <br />Al'PLICATION TOR GL�CTRICAL P�I21bi1T <br />naa� <br />Addrets <br />Mail Address <br />F ro' ject Address �� �� <br />�,�N,� C/1o�,� �S�J-59i b <br />Ciry <br />State/Zip <br />s�«z�� <br />Phonu <br />� ,J%!/ L�Mrt(,✓ <br />Pro�wsedUseo(UuilJin� . <br />� <br />259-8810 <br />'i9 —��'2�83� <br />rnoo� <br />3 5�=��2�� <br />Phonc <br />x��,s o49 a � <br />�? �LL7_ C�4, <br />Stale License No. <br />� : � . lI/)IiT✓lii�il/r�J��l�JII[�'���� ►t��a <br />/ � �/ i <br />NOTG: WAC 296-46-140 RGQUIRES'Cf�1AT PLANS FOR ELECTRICAL WOR}: AT E•DUCATIONAL, INSTITU'1'IONAL OR <br />IiEALTi� CARE PACILITIES II6 AFPROVED BY THE STATE OP WASHINGTON. APPI.ICAN7'S WITH SUCH IOIIS <br />PfUST SHOW 7'IIL- Sl'A1'G APPROVED PLANS BLFORE CITY OF EVEREf PL•NMIT WILL BE ISSUGD. <br />NOTE \VIRiNG IN NON-DWLLLINGS IS REQUIRED TO UE IN METALLIC RACEWA iS (MC AND AC, ARE G1BLE5, <br />NOT RACGWAYS). <br />1 Hf:RG�I' CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPUCATION AND F:NOW THE SAMG 70 OE TRUE <br />AND CORRLCT. ALL PRO\'�SIONS OF I.AWS AND ORDINANCES GOVERNING THIS TYI'E OF \VORK WILL BG <br />COp1PLETED WITH WHL•TH[R SPHCIFI[D H[REIN OR N07'. TiiE GRA�TING OF A PGR�IIT DOL•S NOT PRESUMG <br />To GIVC AUTHORITY TO VIOLATE OR CANCEL TIiG PROVISIONS OF ANY OTHHR STATE OR LOCAL LAW <br />IL[GUI_A7lNG CONSTRUCTION OI< THL PGRFORAfANCL- OF CONSTRUCI'ION. TFIAT I ADt AUTFIORIZGD �Y THE <br />O\\N[R oP 7�IIIS PkOPGRT}..PO PGRPUR�f THG \tlORK POR N'IIIClI APPI.ICATION IS 1fADii AND 1 COAfPLl' WIl'f�I <br />THli S'I'Al-E CONThACTORS LA�\' 15.27 RC\V qNU 29L.2f� \VAC. <br />Signa W m <br />Date <br />ciccepp QISl9)f <br />