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CIfY OF SV6R84'f <br />H[7ILDiNC1 DIVIS[ON <br />3200 CEDAR S1RH8T <br />fiYBRfiIT, WA 9iZ01 <br />� <br />� <br />APPLICATION FOR L�LECrRICAL PERMIT <br />Addmu <br />d <br />City <br />PI�oM <br />-�3�,oa�`1 <br />Teoaat � �� M�il Addne . . City .. SIM�/'Z�p Phow <br />�.c,� �c�.� � �aQ . �1-Sa/UX.c�. �L11L. �U , l�- tS5 S 14a1 <br />fi! Cootr�ctor M�ilAdd�w City St�WZip P600� SWat'�aawNo. <br />`310. CSC3 ���� <br />Contract Priu of Wort , ,_ Propaal U�s of Huildiot <br />ay� <br />x Addras <br />Detcriptioo of Worfc b Be Doos: <br />NOTfi: WAC 296�6-140 REQUiR&S TfiAT PLANS FOR fiLEGTRICAL WORK AT EDUCATiONAL, iNSTiN[TONAI.OR <br />H&ALTH CARE FACILi7'iES Bfi APPROVED BY TNE STAT& OF WASHiNGTON. APPLiCANTS WfCH SUCH IOBS <br />bIUST SHOW THE STA7E APPROVED PLANS HEFORE GTY OF BVEREf PERMTf WILL BE ISSU6D. <br />NCiTfi: WIRING IN NON-DWELLINGS IS RfiQUIR&D TO BB iN METALllC RAC6WAYS (MC AND AC, ARE CABLES, <br />NOT RACEWAYS). <br />I Fi7iREBY CBRTIFY 7'HA1' I HAVG READ AND BXAMINED THIS APPLICATION MID KNOW 7HE SAME TO B8 TRUE <br />ATfil CORRECf. ALL PROViSIONS OF UWS AND OItDINANCGS GOVERNING THIS TYP6 OF WORK WIL4 BE <br />COMPLLTED WITH WHETHER SPECIFIHD NEREIN OR NOT. THE GRANfING OF A PERMIT DOES NOT PR&SUME <br />TO GNE AUTHORITY TO VIOLA'fE OR CANCEL THE PROV1510NS OF ANY OTHBR STATH OR LOCAL LAW <br />REGULATING CONSTRUCTION OR TNE PERFORMANCE OF CONSTRUC170N. THAT 1 AM AU7'HORIZED BY'fHH <br />OWNF.R OF THIS PROPERTY TO PERFORM THB WORK FOR WHICH APPLICAT(ON IS MADE AND I COMPLY WITH <br />THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />" ���!'�-�- �1�� JcS �a3�� <br />Sirnawro <br />D�te <br />Fee <br />.�aw pn� <br />