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T'y 5 <br />�1� <br />Q�D <br />i� <br />CITY OF LVERGTT <br />IiUILDING DIVISION <br />72GG C[DAR STREET <br />LVEREIT, WA 98201 <br />APPLICATION rOR TLLCTRICAL PGRMIT <br />oSECEG.T /�o/�ES <br />O�wer i.fail Address City SmtdZip Phone <br />Tenant � Meil Address Ci1y Sm�dZip � Phone <br />Elatrinl Contnclor <br />.CRc3 <br />Cily Swle/Zip Phcne SU�e Licenu No. <br />O <br />CoNncl Pnce of Work Pmposcd Usc of ➢uilding <br />59zG �Rd �B• kl• Gor /S <br />Proj«t Address <br />Drscriplion of WorA lo Bc Dona %o R�0 TE�jO. �EPyjGE <br />NOTE: NAC 296-46440 RLQUIRES THAT PLMS FOR EL[CfRIC.'.L WORK AT LDUCA I'IONAL. 1NSTITU7'!ONAL OR <br />HEALTIi CARC FACILRIGS UG APPROVED BY THE STATE OP \VASHINGTO\. APPL[CM�iS WITH SUCH lODS <br />MUST SHOW THG STA7'E MFROVED PLANS UGFORfi CITY OG EVERET PL•FhSIT WI.L ➢E ISSULD, <br />NOTE: N7RING iN NON-DWELLiNGS IS REQUIRED TO BE IN METALUC RACEWAYS (MC AIJD AC, ARE CA6LES, <br />NOT RACEWAYS). <br />1 HERGDY CERTIFY THr ' I HAVE READ AND EXAMINLD THIS APPLICATION AND KNOW THE SMiG TO ➢E 7RUG <br />AND CORIlECI'. ALL PI OVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF \VORK WILL DE <br />C0�IPLGTED WRH N'FILI'i{GR SPL•CIPIED HEREIN OR NOT. THE GRANi7NG OF A PE•RAlI'f DOL•S NOT PRESI7ME <br />TO GIVH Al'THORITY TO VIOLATE OR CANCGL THE PROVISIONS OF ANY OTHL•R STATE OR LOCAL V�W <br />REGULATING CONSTRUCTION OR 7HE PERFORMANCB OF CONS7'RUCTION. THAT 1 ATi AUT110RIZED BY THE• <br />ON'NER OF THIS PROPERTY TO PERFORM THG WORK FOR K'HICIi APPLICA770N IS MADE AND I COh1PLY WITH <br />THE STATE CONTRACI'ORS LAW 18.27 RCW AND 296.200 WAC. <br />X %1..�.CE.:w Q.'9iJdr� �8�3 <br />r� ��5. P2` <br />Signaturo Dale <br />