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q <br /> y �H '� 2 �u�ri�ict�Tiov roR ri��c�riucnr� r�iu�irr <br /> ��'� ,�c5:�c� <br /> H <br /> Q H CITY OF EVERE7T <br /> [�y� llUTLDING DIVISION <br /> y �H 3200 CEDAR STRLGT <br /> �t y� EVEitETC,�VA 95201 259•8810 <br /> �I-xi '� <br /> q1 N <br /> � x � � Z(,,,�i �ao tn.. �!.�if,......1' il� � 25B-iSo3 <br /> � �d Owncr hlail Address City State/Zip Phone <br /> H �g <br /> [�]V (� <br /> zH�,9,� H� Tcoant � hfail Address City SLitc/Zip Phooc <br /> � hi y <br /> � /-M 3 <br /> gCty u~, ���lf f�� ��V.�*� �o .�'�c,�f2f��•,eLD.��' f,�, �Bo83 BB9-92Z6 ,ClrcEt�7aF,Er1t3 <br /> R]t+ Electrical Contraclor Mail Address City Sla�e/Zip Phooe State Licensc No. <br /> [�1 <br /> OUyi /�o.00 yrDlw9 �e�a,s.-_e- <br /> � Contract Pricc of WorA Pmposed Usc o(Building <br /> �8 � /ST A� U�EST <br /> � <br /> r«,���c naa«: <br /> � �� Dcscription of Work to Bc Done: 7��.t.` �.t Zoc A� /�ic�c�c.� — <br /> I �� <br /> '�.� � NOTE•:14AC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL�1'ORK AT LDUCATIONAL, INST[TUTIONAL OR <br /> �I I HEALTI-1 CARE FAC1LiCILS IIE APPROVE-D DY 7'HL STATE• OF \VASHINGTON. APPLICANTS WITH SUCH IOBS <br /> MUST SHOW THL STATE APPROVLD PLANS BEFORL CITY OF EVERLT PLR�SIT WILL BE ISSUED. <br /> '� NOTE:1VIRiNG IN NON-DWELLiNGS IS REQUiRED TO BE IN METALLIC RACE\VAYS (MC :WD AC, ARE CAI3LLS, <br /> 1�� NOT RACEWAYS). <br /> I I HERLBY CLRTIFY 7'f�IAT I HAVE READ AND E�AT1iNLD 7'HIS APPLICA7'ION AND KNOW THE SAML TO IIE TRUL <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND ORUINANCGS GOVERNING THIS TYPE OF 1VORK R'ILL BH <br /> t� COT4PLETLD WITH WHETHER SPECIFIED HERL•IN OR NOT. THE GRANTING OF A PLP.AtIT DOLS NOT PRESUMP <br /> 'I'O GIVE AUTHORTIY TO VIOLATe OR CANCL•L THE PROVISIONS OC• ANY OTHHR STATE OR LOCAL LA�V <br /> REGULATING CONSTRUCTION OR THE FLRFORMANCE OF CONSTRUCiION. THAT 1 AD1 AUTHORIZL'D BY 7'HG <br /> OWNL•R OP THIS PROPERTY TO PE•RPOAM THIi NOR}: FOR WHICH AFPLICATION IS 1SADE AND I COMPLY WITH <br /> THL• STATB CONTRACTORS LAW I3.27 ACW AND 29G.200\VpC. <br /> g . . <br /> ,�.ee.�.-� <�. `797�-t,�,,� ��7�9'�— r� 3 5.0� <br /> Sionawrc Date <br /> dcce;�.p(7/S193) <br />