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CITY OF EVEREIT <br />DURDI�;G DNISION <br />3200 C[^AR STRLET <br />GVLREI'f, WA 95201 <br />APYLiCA"fLU`: 1�OI: I�:I,P;C'1'RICAL I'I?H111'C <br />�II��� '� <br />��� <br />259-8870 <br />�E�-EGr I—io�.—f.S <br />Oxncr MailAdd�ecs City . SWtdZip Phone <br />Tcnanl <br />Elalriwl Conlmr'ar <br />� 8oG Oo <br />Conlnct Fricc of Wurk <br />�fail Addrus <br />Mail Addrtss <br />5q27 3R� �A. uJtsr <br />r�qa� naaress <br />Jacription of Work lo ➢c Done: <br />Ciiy SlaldZip <br />L �+� S <br />Ciry StatefZip Phone <br />SfR <br />Proposrd Usc o( DuilJin� <br />Phonc <br />No. <br />NOTG: WAC 296�i6-140 RLQUIRES THAT PLANS FOA ELECCRICAL WORK AT EDUCATIONAL, INS7'IMIONAL OR <br />HGALTH CAFtE FACILIT[GS DG APPROVGD IIY 771L STATE OF \VASHINGTON. APFLICANTS WITH SUCI3 70BS <br />h1UST SHOW THL• STATE MI'ROVED PLANS 6BFORE CRY OF EVLRLT P[Rh11T N7LL ➢E ISSUED. <br />NOTG: WIRING IN NON-DN'ELLINGS IS REQUIRLD TO BG IN RfEI'ALLIC RACL\VAyS (MC AND AC, ARE CAIiLES, <br />NOT RACEWAYS). <br />I HLRHDY CERT[FY THAT I NAVE READ AND GXAAfINGU THIS APPLICATION AND KNOW THP SMfL i0 BE 7RUL <br />AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVLRNING T791S TYPE OF WORK WILL DG <br />CO�IPLETED \VITH \VIIETHGR SPECIPIED HLRL•IN OR NOT. TflE GRANTING OF A YLR1.fIT DOGS NOT PRHSUAfG <br />7'O GIVE nUTHORITY TO VIOLnTL OR CANCGL THE PROVISIONS OF ANY OTI{HR STATE OR LOCAL LAW <br />REGULAT1i1G CONSTRUCTION OR THG PLRFORhfANCE OF CONSTRUCI'ION. THAT [ MS AUi7iORIZEU BY TI{F: <br />ON'N[R OP THIS PROP[RTY TO PGRFORTf THG N'OA}: POR \VIi1CH APPLICATION IS MADE /JMD I COMPLY \VITH <br />Tl{G STATH CON77tACfORS �AW 15.27 RCW AND 296.2�0 WAC. <br />\ <br />_ ..�F1.�e.� af. `Y11e-cc�d- �B/93 r�_.��_ <br />Signalun; Dale <br />dccePP (JISl9J) <br />