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Al'PLICATION P'OR �LECTRICAL P�121�IIT <br /> ��'° <br /> CITY OF EVGRE•TT <br /> p�� IIUILDING DIVISION <br /> Cy H 3200 CEDAR STRLET <br /> r �� E•VERE'IT,1VA 98201 <br /> a 259•8810 <br /> HxH <br /> fC C] <br /> H�1 , C. <br /> �H� � 'il � � 1�C � ��.�� G _ (� � 1 �3. �1 i`r ' \vC� ( � � �� - �� ���—l>"� <br /> � � '~k," Owucr ' Mail Address City State/Zip Phone <br /> [=7 O�J <br /> HC <br /> y��j�� Teoan� � Mail Address City SmtelZip Phooe <br /> xH� ( <br /> �" �-+ y ��.LLI, � ��,���'� ��1 �1 ���� (� ,,I � l l)�"� ��d���(_ c���)C�—J�JJ� <br /> g y Lleclriwl Contractor Mail Address City Stale/Zip Phone Stale License No. <br /> Q G V� �;�,--_ <br /> ��� �� �?��� �• cC'�� 5� iZ_ � lor� ���, J�Ai��t <br /> y y Contrct Pricc of N'ork Proposed Use of Building <br /> H O fn c ' � � <br /> �� � ,� ��\��( C 1�LJ <br /> � Frojcct Address . <br /> llescriplion of Work to Be Done: ��.,�C����V V� � "�-� ��\L. ' �-� � �.t , <br /> � �C � I lV �� l .). ��. <br /> I �� <br /> i �� <br /> NOTE:\'VAC 296�-0G-140 RLQUIitL•S THAT PLANS POR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR <br /> HEALTI-I CARE FACILTTIES BE APPROVED BY 7'HL Sl'ATE OF WASHINGTOK. APPLICANTS NITH SUCH IOBS <br /> MUST SHOW 7'HE S'CA7'E APPROVED PLANS BF.FORL CITY OF EVERFT PL-RM[T WILL BE ISSUED. <br /> �� <br /> NOTL:WIP.INr IN NON-DWLLLiNGS IS REQUIRED TO OL IN hiETALLiC RACGWAYS (MC AND AC, ARE CABLLS, <br /> NOT RACEN'AYS). <br /> �1 � I HERL•I3Y CERTIFY THAT I HAVE RL•AD AND EXAbiINHD THIS APPLICATION AND KNOW THL SAME TO IIE TRUL <br /> �, AND CORRECT. ALL PROV]SIONS OF LAWS A�:n ORDINANCL•S GOVLRNING THIS TYPE OP WORR WILL BL- <br /> COMPLLTPD 1VITH WHETHLR SPECIFI[D HL•REIN OR i:OT. 7'H6 GRAN7'ING OF A PLRAIIT DOES NOT PRLSUME <br /> TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATG OR LOCAL LA�4 <br /> L' � RL•GULATING CONSTRUCTION OR THE PL•RFORMANCE OF CONSTFUCTION. TfiAT I Ah1 AUTHORIZED BY THE <br /> � OWNER OF 7HIS I'ROPERTY TO PGRFORM THE NORK FOR \VIIICH APPLICATION IS �4ADL AND I COhfPLY WITH <br /> ' � THE STATG CONTRAG70RS LAW 18.27 RCW AND 296.200 14AC. <br /> . � �(��- � " �i �� � ��� %: ��/�'j/ '� ��r'�_� � �� � � �'J Fec <br /> � Signaturo � Datc <br /> ll�l <br /> cl:cnpp(Jl5f9D'� <br />