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APPLICATION TOR LL�CTRICAL P�R1�iI1' <br /> HN�3 <br /> c'rt'or•Evextrr � <br /> ➢UILDING DIVISION <br /> 3200 CGDAR STREET <br /> GVEREiT,WA 98201 <br /> 259-d810 <br /> �/S�D//4 �/ii7`l— <br /> Owner � Mail Address City SIaldZip Fhone <br /> Tcnanl � �feil Addrcss Ci�y SlatdZip P6one <br /> ��� . �� <br /> Gleclrial Conlnclor Mail Address Cily SfaldZip Phone SWIe Licenm No. <br /> �r c� .��..� s r-�e <br /> Con�yc ria o(Wor A ' Proposed Usc a(BuilJir.e <br /> � ^ �� /�/��I�� � <br /> Frqec�AAdmss . <br /> //� 1 <br /> Ducription of Work to IIe Dane:_ ��/�!✓f�f�GJ�^ /�-/,fyi�n - �b0 Q�'^ � <br /> NOTE:WAC 296-06-140 REQU1RE517{AT PLANS FOR ELLCIRICAL WORK AT EDUCATIONAL,1VST1'lU770NAL OR <br /> HEALTH CARE FAC[LiTIES DE APPROVED UY THE STATE OF WASHING7'ON. APPLICANTS WfCH SUCH 10B5 <br /> MUST SHOW THE STATE APPROVED PLANS BEFORL CRY OF EVERET PERMIT WILL�E ISSUED <br /> NOTG:WIRING IN NON•DWELLiNGS IS REQUIRLD TO DE IN AfEI'ALLIC RACGWAYS(AfC AND AC, Ai:E CAHLES, <br /> NOT RACEWAYS). . <br /> [IiERGDY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUG <br /> AND COR7tECi'. ALL PROVISIONS OF LAWS AND ORDINANCLS GOVERNING THI: TYYE OF WORK WILL BE <br /> CO�fPLLTED N7TH WI;EI'HER SPECIFIED HEROM OR NOT..THE GRANI'ING OF A PLFNiIT DOES NOT PRESUME <br /> TO GIVE AUTHORI7Y TO VIOLATL OR CANCEL TNE FROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCI'ION OR TNE PERFORMANCE OF CONSTRUCf10N. THAT I AM AUTHORIZED DY THE <br /> ON'NER OF T}115 PROPERTY TO FERFORAf THE WORK POR WHICH APPLICATION 15 AfADH AND I COMPLY WITH <br /> TIiE STATH CONTRACI'ORS LAW 18.27 RCW AND 296.200 WAC. <br /> �.�������i/� 7—�,P=�,> r•u 5°° <br /> Signaturc Dale <br /> dac�pC Q/SNJ) <br />