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( � <br /> A,l'�'L1CA'1'ION J�C))t 1?LIsC7'�UCAI� I'IslZn�i'I' <br /> � <br /> � )' OP I:vf:Rl'sTT <br /> llUILDING DIVIS)ON <br /> 3200 CL•DAK S7'REET <br /> LVl:ltE7T, 1VA 9F'.Ol <br /> 259-Of110 <br /> c�n/aY [c��ck� <br /> Pz�A Ti�m� SIGgF.ia=����Gti lt�A�l Et�r/>a-�'T� l.c�A �1'�iZir3 ZS9- 5�c:x�.. <br /> Owncr Mail Add�css City Sutc/Zip Yhonc <br /> 7'cusnl � �� Meil Addrrss . • . City Stalo/�ip • • Phone <br /> �r8/3� ., ;, <br /> C���1S�u2u.Y 1'l� �� 1�•� .�. Sc�4Ti�c.�, i i1,4 �zZ-l�S�iS C,,uan,�y5=�zkS <br /> �Icatricel CunUactor Mail Address City StatdZip Phone StnteLiceaseNo. <br /> -� ISo= _ <br /> Contracl Price of Work IYoposed Use of$u�lding <br /> tii 0 R ��21���U I,t��4� <br /> PfO�GCC I�ddfGCF ' <br /> � scription of Wurk to Bc Dorc: 'f_A )G?q Sr= .��°JT`� s�S�%1a __ <br /> i <br /> i <br /> NOTE:�VAC 29C-0G-140�REQUIRES THAT PLANS �OR ELECTRICAL WORK AT EDUCATIONAL, INSTITUT[ONAL OR <br /> Iil:/il Tti Ch1� FACILITIGS DE APPROVED A1"THF. STAT& �F WASHITIGTON. APPLICAN7'S W1Tfi SUCH ]ORS <br /> MUS'1'SH01'V THfi STA7'E APPROVEll PL/i1�S BEFOk&CITY OF EVBRLT PERT�fIT WILL BE ISSULD. <br /> J�07'E:WiRING IN NON-nWEL.I TNGS IS R6QUIR�D 7'0 DE IH METALLIC RAC&WAYS (MC AND AC, AR6 CADJ.F.S, <br /> NO'1'1:AC�WAYS). <br /> I HFREIIY C6RTIF1'TIiAT I HAVE REAA AND EXAMINED'fHiS APPLtCATTON ANA K1QOW TAG SAME TO BE TRUL <br /> AND COFtRECT. ALL PROVIS]ONS Ol' LA1VS AND O1tUINANCGS �OVLRNING THIS TYPE OP WORK WII,1. FiF. <br /> CUr4F'Lti'T[D WITH WHETHER SPECiI�I[D HEREIN OR i�U'1'. 7'I-IG GRANTING OF A PERMiT DO�S NOT FkESUMF, <br /> TO G1VL AU'CfiORfCY TO VIOLATG OR CANCF.f, 'I'HG PROVISIONS OF ANY OTHER STAT& OR LOCAI_ LAW <br /> ItF.GULATING CO1vS'1'RUCfION OR THL YGRFORMANCE OP CONSTRUCTION. THAT I AM AUT'HORIZED BY THE <br /> U1YNEh UP THIS PitOPF..R"CY TO PERFORM THG WORF: POR WHICH AVPLICATION IS 'A4ADE AM) I COMPLY �YITI! <br /> TI IC S'1'ATG CONTkACTURS LAW 18.27 RCW AND 29G.200 WAC. <br /> - f . � � <br /> � t � �/ .4�G .S� 1[��� �=r<: ��� ----- <br /> 'Si�n•nur-: llelc <br /> . �,< -; �� <br />