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CCfY OF LVERGTt <br />➢UILDiNG DIVISION <br />3200 CGDAR STRGGT <br />EVrRETT. WA 96201 <br />Ovver <br />AF'PLICATION FOR GL�CTFICAL PEIiA11T <br />AdJfcss <br />� <br />259•8810 <br />SlateiZip Yhooe <br />_���i[2 � <br />Tr.nanl MailAddraa City StataZip Phone <br />�� O�' (o <br />l��cc,r�� �E�,� c� PO ���,x s"Z �� _ cr� %Y2 -���u l'.FY�-sf�'�.. <br />ElxtriralCoNnclor MailAJdress City 7Slate/yip Phore StaleLicenseNo. <br />Conlacl Pricc o( Work <br />/,.✓e j , i�F. ,r s-_ <br />Propo�e of Huilding <br />Projcct Addmss <br />Ducriplion a( Work lo ➢c Done: _�C�LCiw/ C '�. QiRG��'�S" <br />NOTE: WAC 296d6-140 REQUIRES TIiAT PLANS FOR LLLCCRICAL WORK AT EDUCATIONAL, INSTI7UTIONAL OR <br />HEALTN CARL FACILITIL-S IIE APPROVED 6Y THE STATG OF WASHINGTON. APPUCANTS WIT}1 SUCH JOBS <br />MUST SHOW THE STATE APPROVED PLANS UGFORE CITY OF LVERET PERAtIT WILL DE ISSUED. <br />NOTE: WIRING IN NON-DN'ELL[NGS IS RL•QUIRBD TO AE IN ME•TALLIC RACGWAYS (MC AND AC, ARE CABLES, <br />NOT RACEWAYS). <br />I HERE➢Y CERTIFy THAT I HAVG READ AND EXAM WED TI{�5 APPLiCATIOY pNP KNOW TIiE SM1L• TO BE 7RUE <br />AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF N'ORK WILL BL• <br />COMPLETED NRTIi WHEI'HER SPECIFIED HEREIN OR NOT. THL GRANCING OF .{ pC•RMIT DOES NOT PRPSUME <br />TO GIVE AUTHORITY 7'O VIOLATL OR CANCEL THE PROVISIONS OF ANY Gl'HLR STA7'C• OR LOCAL LAW <br />REGULATING CONSTRUCTION OR TNE PGRFORhfANCE OI' CONSTRUCTION. THAT 1 Ahf AUTHORIZED !lY THG <br />OWNER OP THIS PROPE•RTY TO PERPORM TIiE \VOfiK FOR WF{�CH APPLICATIOI: IS MAD[ AND 1 COMPLY WITH <br />Tl1E STATH CON7RACTORS L.AW 18.27 RCW AND 296200 WAC. <br />�kc.rp CJr59± <br />