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�'1��� APPLICATION FOR�LGCTRICAL PEKMIT <br /> CITY OF EVERL•'I'i' � <br /> DUILDING DIVISION <br /> 3200 CEDAR STRHET <br /> EVEREfT,WA 98201 <br /> 259-8810 <br /> .176 Bf�Mdt/rX-✓� 53t�i7 t3`t �,,tCSG_ _SW WI} /�'Lt � B- f3Yz <br /> Owncr Mail Addrcss City Sm1c/Zip F6one <br /> Twent � Mail qddress City Statd7.ip � Phone <br /> /-�c-17oUL-?.l�nCiG in� �(�/ ��L �,,,}-fbL7U 6539Yzi ncRo��322J1L <br /> Gleclnwl ContnUor Mail Addrcss City Sta�eiZip PLone SGte License No. <br /> ��� SF,L' <br /> Contra Pricc o(Work Proposcd Usc of Building <br /> 2��� QtJ�-�4��Z(..c,-/L If(�(� <br /> Projut Address <br /> Deunptian of Work to IIe Done:���_ o�f�-_�p F.[..-Z if'C� (1������ <br /> NOTE:WAC 296-46440 RLQUIRHS TIiAT PLANS FOR ELECiRICAL WORK pT L•DUCATIONAL,INSTI'IV170N.1L OR <br /> HGALT79 CAAE FACILI7iGS DL• MPROVED BY TIiE STATG OF WpSHINGTON. APpLiCANTS WITH SUCN IOUS <br /> MUST SHOW TF;E STATG MPROVLD PLANS DLFORB CITY OF LVLRET PLRM[T\17L[.HE ISSUEU. <br /> NOTE:WIRiNG IN NON-DN'ELLINGS]S REQUIRGD TO IIE IN MHTALLIC RACEWAYS (MC AND AC, ARL CAIiLES, <br /> NOT RACEWAYS). <br /> 1 HERE6Y CERTIFY THAT 1 HAVE READ nND L•XAh11NGD THIS APPLICATION AND KNOW THH SAME TO BG 7RUE <br /> AND CORRLCP, ALL PROVISIONS OF LAWS AND ORDIN.4NCL5 GOVERNING THIS TYP6 OF WORK WILL �E <br /> COMPLLTL'9�57771 WHETHGR SPcCIPIED liGREIN OR NOT.THE GRANTING OF A PERMIT DOEi NOT FRL•SUMH <br /> TO GNG AUTHORITY TO VIOLATL• OR CANC[L THE PROVISIONS OF pNY OT71ER STATE OR LOCAL LAW <br /> RLGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. TIiqT 1 AM AU7IIORIZGD BY TF�. <br /> OWNGR OP THIS PROPERTY TO PERFORM T}iL•WORK FOR N7i1CH APPLICA710N IS MADL AND 1 COMFLY WJTH <br /> TfiE STATE CONTRACI'ORS LAW 18.27 RCW AND 296.200 WAC. <br /> X � <br /> //i 1 a,✓r.C.f_j _ 9-/f-93 r� . ���-- <br /> Si ure — <br /> Dale <br /> ������ <br /> a«.rr�isro,. <br />