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AI'PLICATION TOR�L�CTRICAL PGI2114IT ���'�t`� <br /> ;>b ��"I <br /> crrr or•cvEt�rr � <br /> nua��Nc nrv�s�ox <br /> 3200 CGDAR S7RL-ET <br /> EVL•RHIT,WA 98201 • <br /> 259•8810 <br /> �VEI��� IT Si�2(.�cnL ClN1fZ J0:1 f�v.YFf:. ! <br /> 3�s !' =.�c0� <br /> Owner M11ai:AdJress .:ity SlatdZip Fhooe <br /> Tcnnnl � htail AJdress Cily Slate/Zip Phonc <br /> CxccL �ir_c'n.i� �- ��iz�.cr S F�eir�e 1z3 �, <br /> _C��t�-l3b-s: r�77,t/i �,.n �Epoii� r/!1t•S>» r <br /> Elmlripl Contnclor Mail Address Cily State/Zip pLone Sta�c License No. <br /> �CO�..UG Sucdi�n( C<N1�i� <br /> Conl,act Price o(Work Proposcd Uw of Building <br /> 7ns� Q�.�I�rA Cv��t�r.r <br /> Project Address . <br /> Ducrip�ion o(Work lo Dc Done: ..�� R F ni�. i.� /-/V r1� I 'N!T(_ <br /> N07G:NAC 2��6d6-I40 RLQUfRGS TE{AT PLANS POR ELtiCTRICAL WORK AT GDUCATIONAL,]NSTI'N'I'IONAL OR <br /> I{EALTIi CAr.L PACILifIL-S UE APPROVLU BY TIIG S7A7'G OF WASHINGTON. APPLICANTS WITH SUCH 1005 <br /> MUST SHOW THE STA7'H MPROVED PLANS EEFORL CITI'OF GVLRET PERMIT WILL HE ISSUED. <br /> NOTG:WIRING iN NON-DNELLINGS IS REQUIRED TO DG IN METALLIC RACLWAYS(A1C AND AC, ARE CABLFS, <br /> NOT RAC[WAYS). <br /> I HGAE�1'CLRTffY THAT I HAVE READ AND EXAMINFD THIS APFLICATION AND KNOW THG SAMG TO DG TRUG <br /> AND CORRE•CC qLL PROVISIONS OF LA\VS AND ORDINANCES GOVERNING THIS TYPG OF \40R}: \\9LL �E <br /> COMI'LGTGD WITH W19GTHER SPGCIFIED HHRL•IN OR NOT.THE GRANTING OF A PGfN1IT DOL•S NOT PRF:SUML <br /> TO GNG AUTHORRY TO VIOLA'fG OR CANCHL THE FROVISIONS OF ANY OTp[R STATP OR LOCAL LAW <br /> REGULA7'ING CONSTRUCTION OR TH[ PGRFORAfANCG OF CONSTRUCfION. THAT I A�t AI7THORIZL•D 13Y THE <br /> OWNER OF THIS PROPL•RTY TO PGRFORM THG WORI:POR N'HICH APPUCATION IS 1.fADG AND 1 COAfPLY WITH <br /> TIiG STATG COMRpCI'ORS LAW 1&i7 RC1V AND 295.200 WAC. <br /> � .) � ��f �� �� <br /> _ +-ta_�7d' /^ ' )_ '%,1 Pcc <br /> SignxNrc Dale <br /> d�=•rr O�sro�� <br />