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AI'PLICATION rOR ELBCTRICAL P�R1�fIT <br />QTY OP LVERGi"i <br />DCILDING DN;SION <br />3200 CEDAR STRLGT <br />EVEREiT, WA 9&201 <br />� <br />259-8870 <br />__�ELECT flOu.�S <br />O�rocr Atail AdJrass City Slalc/Zip Phone <br />Addre== <br />Llcclntal Controctor A1ail AdJrus <br />/$eo.00 <br />Comnct Pricc of Work <br />GO/8 �T7./ tlrf. /!�. <br />Praject Address � <br />City Sie1clZip <br />[ d..3 <br />Ciiy SlaldZip Phone <br />�FR <br />Proposcd lf.0 o( lluilding <br />Descdp�ion o(\VorA lo fic Done. Zoo Aw.� �£iC✓/C� <br />Phooe <br />State Licuise No. <br />NOTE: WAC 29G46-140 RLQUiRES TIiAT PLM7S POR ELECI'RICAL WORK AT E•DUCATIONAL, INSTI'IUfIONAL OR <br />HGALTli CARL PACILTf1E5 6G APPROVGD 6Y THL• STATG OF WASHINGTON. MFLICANTS WITH SUCH lOIIS <br />MUST SHOW THG STA7'L MPROVLD PLANS ➢LFORE CITY OF GVIRET PLRAfIT WILL EG ISSUGD. <br />NOTL: \VIRING IN NON-DR'ELLiNGS IS RE011IRED TO 6G M A7LTALL[C RACEWAYS (MC AND AC, ARG CA6LGS, <br />�OT RACGR'Al'S). <br />I HL•REIfY CERTIFY THAT I HAVG READ AND EXA�fINLD THIS APPLICATION AND KNOW Tf{G SAME TO IIG TRUH <br />AND CORRLCf. qI.L PROVI310NS OF I_AWS AND ORDINANCLS GOVf:RNING THIS TYPE OF WORK WILL U8 <br />CO�SPLL7'LD WITII WHETNLR SPECIFILD HEREW OR NOT. TI{� GRANTING OP A PLINIIT DOFS KOT PRL-SUME <br />TO GIVB AUTHORITY 7'O VIOLATL• OR CANCLL THE PROVISIONS OF ANY OTIiLR STATE OR LOCAL LA\V <br />ILLGULATING CONSTRUCI'ION OR THG PLRFORMANCG OF CONSTRUCIION. THAT I A1.I AUTIiORIZGD DY T}1E <br />ON'NGR OP THIS PROPERTY TO PGRFORT7 THE WOIU FOR \VHICH APPLICATION IS �lADL AND I COMPLY R7TH <br />THB STATl CONTRACfORS LAW 18.27 RCW AND 29G.200 N'AC. <br />Signalurc <br />� '�' <br />fcc �.�'�. cb <br />��«•rr �/5roJ1 <br />