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APPLICATION FOR CLECTRICAL PERMIT <br /> CRY OF HVERCTI' <br /> DUILDING DIVISION <br /> 3200 CEDAR STREGT <br /> EVF.RETT,WA 96201 <br /> '�I'���l t I I(i--��— I�I��I%; I '.� I IJ<'� I'�.''� I i'.IIr'rb..t' �'/'��.'"'� <br /> Owner 1 Mail Address Cily Sui✓Zip Phone <br /> Tenam M�il Address City SmldZip Phone <br /> ' ' - _ <br /> '%/3r/l!'.l�G. �',�i.�.�i'�, I'.�IJ/; tz) -�,,iitq� /!iil'�..Y�/.r• 'IS";��/ • SY'i:a 'i.-'!i:<.P.i'G�S..)ia <br /> Blxlrial Contnclor Maii AdJnss Cily SlatdZip Phonc Smtc Licenu Nm <br /> Cont.�cl Price of Wark Pm�asal Use a(IIuilJing <br /> J�.� i� <br /> /t-t .iii� '",r_�, //.�;•" ��l /JN/V'il-l`.i'..:_�i, <br /> Project Addmcs � <br /> �nuriplion of Work to Uc Dnne:_ ���/ /�,!4' �� -�!�'��' .i:�-/'• <br /> NOTL:WAC 296-46•140 REQUIRES THAT PLANS iOR ELECI'R1CAL WORK AT EDUCATIONAL,INSTITUTIONAL OR <br /> HEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS W[TH SUCH IO�S <br /> MUST SHOW THE STATE APPROVED PLANS BLFORE CITY OF L•VERET PERMIT WILL BE 15SUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO�G IN METALUC RACOWAI'S(�1C AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> 111EREBY CERTIFY TNAT 1 NAVE READ AND E%AMINED THIS APPLICATION AND KNOW THE SAML•TO�E TRUE <br /> AND CORRL•CI'. ALL PROVISIONS OF LAWS AND ORDINANCL•S GOVGRNING THIS TYPE OF WORK WILL BE <br /> COMPLGTED WITH WHE;NER SPECIFIED HEREW OR NOT.TIiE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GIVE AUTHORITY T� VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCfION OR THE PERFORMANCE OF CONSTRUCI'ION. THAT 1 AA1 AUTHORIZED BY TNE <br /> OWNGR OF Tti15 PROPERTY TO PERFORM TNE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH <br /> THE STATE COMRACfORS LAW 18.27 RCW AND 296.200 WAC. <br /> � ����.../ .�_�7/•��� �-- —,� . _ F� _ _ <br /> ' Signalurc / Drie <br /> C�C�r1/� eleo�p15N]I <br />