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w� 3 <br /> � � <br /> APPLICATIUN I�OR LLL'CTRICr1L P�R1�IIT <br /> � �y � <br /> i0 Rl x Cff'Y OF EVERLTT <br /> a y y BUILDING DIVISION <br /> xy 3200 CEDAR STREET <br /> �x n EVL]tLTT,WA 96201 259•8810 <br /> H x1 <br /> hd H '�1 <br /> fA rM . 1 <br /> �yg �E�E�-T How-ES Phone � - <br /> [21 O t+1 O�wcr hlail Address City Slate/Zip <br /> H <br /> OH <br /> � �g <br /> �j]Y �] <br /> a y� . - Dfail Address City State/Zip Phone <br /> Tcoant <br /> t" x <br /> HH <br /> �y f� L N+ �j <br /> o b y Hlutriwl Contraclor D9ail Address City State/Zip P6one Stale License No. <br /> ��� <br /> H o vyi � � °� °o I�IEvJ REZi�El,k� <br /> Contract Price of Work Proposcd Use of IIuilding <br /> � 5 8 0� I Sr �3 R 4J EST <br /> Projut Address <br /> i <br /> � � Description of Nork lo Be Done: <br /> � <br /> �� <br /> i L�� - <br /> - NOTE:WP.0 296-46-140 RL•QUiRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTII'UTIONAL OR <br /> =1�I HEALTH CARE FACILII'[ES IIE APPROVED BY THE STATE OF WASHINGTON. APFLICANTS WITH SUCH JOBS <br /> MUST SHOW THE STA7�E A3'PROVED YLANS IIEFORE CTfY OF EVL•RET PLRhfIT WILL IIE ISSUED. <br /> NOTL:WIRING IN NON-DNELLiNGS IS REQIDRED 7'0 BE IN METALUC RACEWAYS (MC AND AC, ARE CABLLS, <br /> NOT RAC6WAYS). <br /> i �� <br /> I HEREBY CERTIFY THAT I HAVE READ AND LXAMINED THIS APPLICATION AND KNOW THE SAME TO BH TRUE <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVLRNING THIS TYPE OI \VORK WILL IIE <br /> ��' COMPLLTED WITH WHETHER SPEC[FIED HERL•IN Oit NOT. 7'HE GRANTING OF A PERMIT DOLS NOT PRLSUME <br /> TO GNE AUTHORITY TO VIOLATE OR CANCLL THE PROVISIONS OF ANY OTHLR STATE OR LOCAL LAW <br /> RLGULAI7NG CONSTRUC7'fON OR THE PBRFORhfANCE OF CONSTRUCTION. TIiAT I AM AUTfIORIZGD BY Tf{L <br /> OWNER OF TH1S PROPERTY TO PERFORI�4 THE WORk: FOR V�'HICH APPLiCATION IS MADL AND 1 COMPLY NITH <br /> THH STATE CONTRACTORS LAW 18.27 RCW AND 29G.200 WAC. . <br /> X y�, � � , 7��ii�d- �o%f; 93 r« �5.� <br /> Signawro . Datc <br /> ��� �-�.- . �% <br /> oi«orr P�sro37 <br />