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APPLICATION TOR�LECTRICAL P�R114IT <br /> CITY OF LVERE7T �/ <br /> BUILDMG DiVI510N <br /> 3200 CGDAR STREET <br /> HPERf:?I',\VA 96201 <br /> 259-88f0 <br /> �/���„/x.�� �4yinl'i G.�J3/ /t-/i ._ �i3r-t F��,- �� �� <br /> OwTer � Mail Addrcss City S�ete2ip Phooe <br /> Tcoent � ' Mail Addrtss City SlatdZip Phoue <br /> Tf= ��� <br /> Elxlriul Contnttor �tail AddRss Cily SIaldZip Phone Sln�e License No. <br /> SF� 1�� �t�.n <br /> Contrect Price of Wark Fropos.d U..e o(Duild� <br /> .S .�:7: l5� /�"L�SF' �_'n� �/.1. <br /> Froject Addmss <br /> // � � <br /> Description o(Wor{:l0 6e Done:_. �lC/ ff�%e� �'!iT-,. .,�. <br /> NOl'E:WAC 296-06-140 RLQUIRES THqT pLANS FOR ELECTR]CAL WORK AT EDUCATfONAL,INSTITUTIO�IAL OR <br /> HEALTH CARE FACII_iTIES llL• AFPROVED BY THE STA'fE OP WASHINGTON. MPI]CANTS N'ITfl SUC13 lOHS <br /> MUST SHOW TF{E STA7'L•Ai'PROVGD PLANS BEFORE CITY OF LVERL•T PERTIR N7LL➢E ISSUED. <br /> NOTE:WIRING IN VON-DWELLINGS IS REQUIRED TO BE IN MGTALLIC RACE\4AY5(�1C ANU AC, ARE CAIILES, <br /> NOT RqCL\1'AYS), <br /> I HERE�Y CERTIFY THAT I HAVE READ AND LXAMINED THIS APPUCAT70N AND KNOW TNE SMiL TO OL•TRUL• <br /> AND CORRECf. qLL PROVISIONS OF LAH'S AND OFIDINANCES GOVERNING THIS 'I�'PE UP \VORK NRLL DG <br /> COMFLi>TED N'ITH N'HETfIER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PER.\fIT DOLS NOi PRGSUME <br /> TO GIVE AUT-iORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTF{ER STATG OR LOCAL LAW <br /> REGULATING �:ONSTR�CfION OR THE PL•RFORMANCE OF CONSTRUCTION. THAT 1 AM AUTF[ORIZED BY THE <br /> OWNL•R OF THIS PF.OPL•RTY TO PGRFORM TliL•WOR}:FOR WHICH APPLICATION IS�tADG AND 1 COMPLY WITH <br /> THE STATE CON'RACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> x ������,//� /l'.�: .� F� <br /> � Signature � Dete <br /> � ���� � <br /> d«.rr(7isn» <br />