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y� H Al'PLICATION TOR �LLCTRICAL I'�I2DfI'P <br /> �� � <br /> ay <br /> C�H crrY or Ev�t�n <br /> 9 y cn BUILUING DIVISION <br /> � 32Q)CEDAR STRLE'I <br /> K �n EVER1iTT,WA 9E20] 259-8810 <br /> y � <br /> � N 'ii <br /> V1 H I <br /> � x �p 1�--� 1 - S'Cl,�� � <br /> e l� r ��� � ��5 �-( � I� ��� ew l7r �=v �,- rla-9�' �0:�; .� � 1-S <br /> y ty Owuer 4ai1 Ad�ress City , SlatelZip Phonc <br /> ON <br /> H �g <br /> n" " Nn � - <br /> � y � Tcoanl � � T1ail Address � Cily StalclZip � Phonc <br /> z <br /> H H I (` � <br /> � I� <br /> H <br /> oC �n <br /> � � r Eleclricr�Contractor Mail Address City Stale/Zip Phone Slatc Liceuse No. <br /> H O [n —._K �. � �,� � c s- <br /> Contract Price o Work Yroposesl Use of Ruilding <br /> ��� Project Address � <br /> 1 � [ � <br /> 'I ,�� Description of 14ork lo Be Donc: J ' �A •�� �i ��� { � r"1 %�(I � � � t � <br /> L $ 1V� � � .� ,, ��� �- . J <br /> .� l�. � � '���_ � -t-. <br /> I -- �-- - <br /> NOTE•:14AC 296-06-140 RLQUIRES TEiAT PLANS FOR ELECTItIGll.WORK AT EDUCATIONAL, INSTI'CU'I10NAL OR <br /> , �=,�' HEALTIi CARE FACILITIES BE APPROVED BY THE STATL OF WASHINGTON. APPLICANTS NTTH SUCH JOBS <br /> MUS'f SHOW THfi STA7'G AS'PROVLD PLANS BEFORL CITY 01'HVERL•T PER'.1IT\VfLL IIE iSSUED. <br /> �:OTE:WIRIN� IN NON-DWELLiNGS IS REQIDRLD TO BL IN MLTALLiC RACEWAYS (MC AND AC, ARE CAI3LFS, <br /> I � t_1 NOT RACGWAYS). <br /> I SiEREBY CL-RTIFY 7'HhT I FfAVL• READ AND EXAMINL-D THIS APPLICATION AND KNOW THE SAML TO BP TRUL• <br /> AND CORRECT. ALL PROVISIONS OP LA\VS AND ORDINANCES GOVERNING THIS 7'YPE OP WORK WILL IIL- <br /> �1'� COMPLLTED WI'I'H WHETFiER SPE-CIFILD HLREIN OR NOT. TI�IE GRANTING OF A PERMC� DOES NOT PRESUhfE <br /> �� 'fU GIVE AUTHORITY TO VIOLATE OR CANCLL THE PROVISIONS OF ANY OTHLR STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR 7HE PERFORMANCG OF CONSTRUCf10N. THAT I ADi AUTHORIZED IlY THE <br /> OWNER OF THIS PROPLRTY TO FERFORM T}iE WORK FOR WHICH APPLIGITION IS T1ADL• .� I CObfPLY WITH <br /> THE STATL• CONTRAGTORS LAW 13.27 RCW' AND 29G.200�4AC. <br /> i <br /> � ��/ /�1-_-�. t ' � >L�:�-L,.� I:u. �^ . -- <br /> Signnturc � D.��� � <br /> ciccepp(d/5/97) <br />