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�oT �o h(°"� <br /> ��`� � nrPLic�Ttorr roR rLLcriuctu, �����irr <br /> � �° <br /> a y CCI'Y OF EVEFtL•TT <br /> C �H BUILDING DI\'ISION <br /> y y fn 32D0 CEDAR STRLGT <br /> H � L•VERETT,NA 98201 259-8810 <br /> y M <br /> fC f� <br /> H 7J <br /> �(A H�+ �� �\ �l1 S — — <br /> 5 Zp 3 O�wcr A1ni1 Address Ci�y Slatc/Zip Phone <br /> � HC <br /> OH �y <br /> N C+1 O <br /> �� nq3 Tcoant � Ttail Address Ciiy SL�tc/Zip � Phone <br /> xHtd <br /> � yy ,��11 �' 1�c�--�< c Z-n1�� <br /> �d y Llectrical Contractor Mail Address Ciry Stale/Zip Phone Slale License No. <br /> � �Cjoo.�oo �(_ � <br /> p� Contrzct Pricc of Work Proposcd Usc of Building <br /> � 5822 Isr DR. WEaT <br /> Projecl.4ddress <br /> 1 Descriptionof\VorkloIIcDone: IJEv�I f-�o�n-E 'LoOhK-� �E2�1 F <br /> ' �� <br /> { L=! <br /> NOTE:\VAC 29G-06-140 RLQUIRfiS TI-IAT PLANS POR ELLCTRICAL\VORK AT LDUCATIONAL, 1NSTITUTIONAL OR <br /> IiEALTfi CARE FACILTTIGS BG APPROVED &Y THL STATE OF WASHINGTON. APPLICANTS WITH SUCH JOIIS <br /> �,�� h1UST SHOW THE STA7'E APPROVfiD PLANS BEPORL CITY OP LVGRET PfiR1�91T WILL I3E ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO OE IN METALLIC RACEWAYS (MC AND AC, ARE CAI3LES, <br /> NO'C RACEWAYS). <br /> � �� I HEREBY CERTIFY THAT I HAVE READ AND EXA1�41NGD'IHIS APPLICATION AhD KNON THL SAME TO IIG TRUL <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING TI�IS TYPE OF NORK WILL DE• <br /> CODIPLGTGD \VITH WHETHER SPECIFIGD HLREW OR NOT. THE GRANTING OP A PL•RA1IT DOL•S NO'C PRESUTiE <br /> `=' TO GIVE AUTHORITY TO VIOLATE OR CANCLL THG PROVISIONS OF ANY OTHER S'CATG OR LOCAL LAW <br /> RGGULATING CONSTRUCTION OR THL PLRFORhSANCE OP CONSTRUCTION. THAT I AM AUTHORIZGD DY THE <br /> OWNGR OF TIIIS PROPERTY TO PERFORM THE�VORK FOR�19i1CH APPLICATION IS 1�1ADG AND 1 COMPLI' \i'ITH <br /> 7'HE STATL CONTRACTORS LAW 15.27 RC�Y AND 29G.2001v�C. <br /> �����o�Gd �����R3- . NWu-3�'.00 � <br /> .,�: .,... .•. ,.< _ mu- <br /> � <br /> ``C� �';r <br /> deonrr(3r5�97) <br />