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i \ <br /> �� <br /> APPLICATION TOR ELGCTRICAL PGI2111IT <br /> C[TY OF GVERETI' � <br /> �UILbING D1VISION <br /> 3200 CGUAR S7REET <br /> EVEREfI',WA 98201 <br /> 259•8810 <br /> ��,�C�C�rC- <br /> � <br /> � <br /> �ir,-� ?��iY ISGS �C�' -,�'�� �.✓f�- �/�a�] 'r <br /> Ouncr Ma�l Address ° City StatdZip Phone <br /> � <br /> ��(1�_•).n.k_ <br /> Tenanl Mail Addrecs City SIaIe/Zip Phone <br /> ,r _ <br /> � <br /> _1_cC�i.,1� �I:,ir i�?C( 4J+ _''n/( Jirl'��r» (f,%� `h' '��' y�s-t ��/IUe'/t P',€['Sr/"I' <br /> Elalnral Conlnclor Mad Add�ess Ci�y StnidZip Phonc SGIe Licensc No. <br /> ' "` J7yt`_ <br /> Canlntt Pricc of Work Proposed Usc a(Duilding <br /> Project Address . <br /> Descnptiono(WorkloIIeDona �LY✓iCP C�IR,I�t� C � qc�<�' �[l�k�1�111'-}- �e�_�A <br /> � <br /> q <br /> ��11 GF7'� ���1 C� _ )� (��-y � .. 1'r f l� s'�v 'I�� -t �L� <br /> � r � <br /> NOTE:WAC 296-46-I40 REQUIRES THAT PLANS FOR ELGCI'RICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br /> HEALTH CARL FACILiTIES 6E APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH IO�S <br /> MUST SHOW Tf1E STATE APPROVED PLANS BEFORE CITY OP EVGRET PbRMIT WILL BE ISSUED. <br /> NOTG:WIRING IN NON-DN'ELLINGS IS REQUIRGD TO BE IN MLI'ALLIC RACEWAYS(MC AND AC, NtL CABLES, <br /> NOT RACEWAYS). <br /> I HEREHY CERTIFY THAT I HAVE READ AND ERAMINGD TI{IS APPLICATION AND]iNOW TH8 SAME 70 BE 7RUE <br /> AND CORRGCT. ALL PROVISIONS OF LAWS AND ORDMANCES GOVERNING TI415 TYPE Or WORK WILL BL <br /> COMPLETLD WITH WI1E1'HGR SPECIFILD IiERE1N OR NOT. THE GRAMING OF A FLRMIT DOES NOT PRESUME <br /> TO GIVE AUTHORITy TO VIOLATH OR CANCEL THE PROVISIONS OF ANl' OTHL•R STA7E OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PGRPOR1.fANCE OF CONSTRUCI'ION. THAT 1 At.f AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PGRFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY NTTH <br /> TF9E STATE CONiRACI'ORS LAW 18.27 RCW AND 296.200 WAC. <br /> X <br /> _� , a 7 ) c <br /> C.���./1 /� �,�� � ,�� P�—�'—i 5 r� .--i� — <br /> G S�gnemm ' Ua�e <br /> L�?�'3� <br /> ��«•rr Onro� <br />