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� �� ��PLict�riov roR rL�cTrucni, rriu�u�r .,a ��� <br /> G �� CCIY OF EVEREIT <br /> .�., y y P.UILDING DIVISION <br /> y � � 3200 CLDAR STREET <br /> K c� LVERETT, WA 98201 <br /> O x o 259•8810 <br /> � �~AN �J <br /> � �� �; ; L��:,; ��/7.r�tr��.�; �i'1(- 5��•�.-//f�dv��`a� / r�/ ', �'f.% % i'J �f' �:�" � ySJ-BS>� <br /> O N C Owncr � Mail Address City Statc/Zip P6one <br /> H �8 <br /> (�V � <br /> zN�> y � Tcnant - D'lail Address Cily Statc/Zip - phonc <br /> t� <br /> HH <br /> ti <br /> OC7U! _C�U)11Q� <br /> ��� Electrical Contractor Mail Address Cily Slate/Zip Phone SGIe Liunse No. <br /> ONN .Ct"',�..f�-C^� n!�?af����s:..i� <br /> � Contract P�ice of Work Proposed Use of Building <br /> i ��0� CU��r,+��rr� � �l�ttl �,�%.%J n�'.�' <br /> Project Address �—��'� . <br /> � > 7 - '/1I <br /> � �� Description of Work to IIe Done: � ! ' / � !� t� J C=v"�/i G� — V Y��X�v� <br /> I �� <br /> � � NOTE:WAC 29G-4G-140 RLQUiRES THqT PLANS FOR LLECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br /> � 1 � FiBALTH CARL FACILTTIL•S DE APPROVLD DY THL STATE OF WpSHINGTON. APPLICANTS NITH SUCH JOBS <br /> ' � MUST SHOW THE STA7'G APPROVL•D PL.ANS BEFORL CITY OP'EVERET PLRMIT WILL BE ISSUED. <br /> �_ NOTH:WIRINC IN NON-DWELLiNGS IS REQUIRLD TO DE W METALLIC RACEWAYS (MC AND AC, ARE CADLfiS, <br /> �= NOT RACEWAYS). <br /> I HERE➢Y CERTIPY THAT I HAVL READ AND GXAMINED THIS APPLICATION AND KNOW TFiE SAA1E TO BE TRUE <br /> � AND CORREC'C. ALL PROVISIONS OF LA\1'S AND ORDINAflCHS GOVLRNING TI-llS TYP5 OP WORK WILL IIE <br /> � � COMPLETED 1VITFi WI{ETI-IL-R SPECIPIED HEREIN OR NOT. THE GRAN7'ING OF A PERAIIT DOES NOT PRESLR.1G <br /> TO GIVE AUTH0�21TY TO VIOLATb OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> � RLGULATING CONSTRUCTION OR TH6 PGRFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZLD BY THL <br /> OWNL•R OF THIS PROPERTY TO PL•RFORM THE WORK FOR Wf�ICH APPLICA7'IGN IS T:ADE AND I COMPLY\17TH <br /> T]�L STATG CON7TtACTORS LAW 18.2/RCN AND 296.200 WAC. <br /> ) <br /> \ . °�- � � �� � /! � Qp <br /> , / i / <br /> � :_�/ 7i'f��f• . .�/ /y� /�/�-'��-�'L'L'lZ- 7 �i�,��/`% Pcc .�� <br /> Signaturc � ' I�;�t� <br /> d«npp(!/5/971 <br />