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APPLICATION FOR ELECTRICAL PE101IT <br />CITY OF EVERE77 <br />BUILDING DIVISION <br />0200 CEDAR STREET <br />EVEREIT, WA 98201 <br />OL <br />259-8810 <br />o,Hc s Ara c,J 5-I AI - 30 ]bald. trd&e -m 1d71 9u3 assert � <br />0.mcr Mail Address City State/Zip Phone <br />Tmant ?,fail Address City State/Zip Phone <br />J:5 1- a37S-130VAW—n,G'F(01 <br />T,b6gt SYf7+-�iNS./1ve, bc--"FvuG, krq 9fmc-AYo-94-7131 XII"Ls7074D3 <br />Electrical Contractor Mail Address City State/Zip Phone State License No. <br />Contract Price of Work <br />Proposed Use of Building <br />-5AMtc�, 14 S <br />Project Address <br />Description of Work to Be Done: 120 L EA 1115- <br />NOTE: WAC 29646-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br />HEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS <br />MUST SHOW THE STATE APPROVED PLANS BEFORE CITY 01: E•VERET PERMIT WILL BE ISSUED. <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br />NOT RACEWAYS). <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br />AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br />COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GP 4NTING OF A PERMIT DOES NOT PRESUME <br />TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br />REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OP THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH <br />THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />3- )3 Fee,'t 30, o <br />Date <br />4W <br />aecapp (1/5Ni) <br />