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APPLICATION FOR iLECTRICr1L Y�KMIT <br /> CITY OF EVERtiTT <br /> BUILDING DMSION <br /> 3200 CEDAR STREBT <br /> EVEREIT,WA 98201 <br /> 259-88f0 <br /> �✓e��>`l� �o.►..s.i 7�. Co�CL.d�� .1�._�r� <br /> Owner Marl Addfa., �� � <br /> QO/ (.�fE�i�7qQE' �✓6 �-��Y . StaWZiP Phone <br /> �i9RKS nr' /�s��''��a�p EXc,�aorY J.� <br /> Tenant Ma�Address . . . . City S tdZip . . Fhone <br /> ��l//[C 6'�c'IwK �39 Ni.9.�it/�J' n...,,.,Yi !►� 9�'A� �nr..�'ita�ss� <br /> Electncal Contractor � Ma�l Addrcss C�ty State/Zip Phone SGte License No. <br /> 9.Ss M �,�.�,�_.� <br /> Coutnct Ynce of Work Proposed Use of Building <br /> Projeet Address <br /> Dacription of Work�o Be Done:_ /�`/ �" /���Bv� /sr'�1 �,pp�,�o� <br /> _ �A�S /4<dC' � <br /> NOTE:WAC 296-46-140 REQUIRES'('HqT PLANS FOR ELECTRICAL WORK AT EDIICATIONAL, WSTITUITONAL OR <br /> IiEALTH CARE FACII.ITIES Bfi APpROVED BY THE STATE OF WASHINGTON. APPLICANTS WiTH SUCH JOBS <br /> MUST SHOW THE STATE APPROVED PLANS BEFORE CTfY OF EVERE'I'PERhfIT WILL BE ISSUED. <br /> NOTE:W[RING IN NON-DWELLINGS IS RfiQUIRED TO BE IN METALLiC RACEWAyS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> I HEREBY CERTIFY THAT I HAVE READ,4IdD EXAMINED THIS APPLICATTON AND ICNOW THE SAME TO BE TRUE <br /> AND CORREC7', ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WII,L gg <br /> COMPLETED WI'I'$ WIIg'I'HER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESLTMg <br /> TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATTNG CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCfION. THAT I AM .AUTf[ORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORR FOR WHICH AFPLICATION IS MADE AND I COMPLY WITH <br /> THE STA'TE CONTRAGTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X 6�uY� $� �y <br /> S�gnature ! ��G-[�_ Fee ��� 6.tJ <br /> Date <br /> �d Jda- <br /> elecepp(!/5/93) <br />