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�� �yb <br /> o� yEti <br /> � �� �13 APPLICATION rOR IL�CTRICAL P�I2MIT <br /> L <br /> CITY OF E•VERE'IT � <br /> BUILDING DIVISION <br /> 3200 CLDAR ti7RLET <br /> LVERE7T,W.196201 <br /> 259-8810 <br /> 5��� Y\�.�(Y�<.'S <br /> Owner Mail AdJmss City StnldZip Phone <br /> TcnW - M�il Address City SutclZip � Phooe <br /> L� n� �cftu. �c. Lt�-3 <br /> Elalriul Contnclor Meil Addrtss City StntdZip Phone Slate Licenso No. <br /> Contacl Prxof Work Proposed Usr o(lluilJing <br /> SBQ2 �sr DR. tJ. <br /> Project Addau . <br /> Deuription of Work lo Be Done: �o��En.', <br /> NOTE:WAC 296-46d40 AGQUIRES THAT PLANS FOR L•LHCfRICAL WORK AT L•DUCATIONAL,INSTI"I'UTIONAL OR <br /> HHALTH CARE FACILifIGS HE APPROVED BY THE STATE OF WASIIINGTON. APPLICANTS WITH SUCH JOBS <br /> 1.IUST SHOW THL STATG APPROVED PLANS REFORE CITY OF EVERL•'1'PERMII'H7LL BE ISSUED. <br /> NOT[:WIRING IN NON-DWELLINGS IS REQUIRED TO UE IN hiGTALWC RACEWAYS(A1C AND AC, ARE CABLHS, <br /> NOT RACEWAYS). <br /> I HEAEOY CERTIFY TFiAT I HAVE READ AND EXAMINGD Tf{IS APPLICATION AND KNOK'THG SM1E TO DL TRUE <br /> AND CORRECI'. ALL PAOVISIQ:JS OF LAWS AND ORDINANCES GOVHRNING THIS TYPE OF WORK WiLL BL <br /> COMPLF.TED WITH WHERIER SPECIPIED HGREIN OR NOT. THE GRANTING OF A PLRMI'f DOGS NOT PRGSOM1fE <br /> TO GIVE AUTNORITY TO VIOLATE OR CANCGL TNG PROVISIONS OF ANY OTIiER STAT6 OR LOCAL LAW <br /> REGULA'fING CONSTRUCi70N OR 7HE PERFORMANCL• OF CONSTRUCfION. THAT 1 AM AUTHORIZED BY TIiE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICII APPLICATION IS MADE AND I COMPLY WifH <br /> THE STATE COMRACPORS LAW 18.27 RCW AND 296.200 WAC. <br /> X <br /> �� . `111..(�G.F 5����93 Fu b5ao <br /> Signeturo Dale 'I <br /> �h�h`I ' <br /> �i«. p�sro� <br />