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APPLICATION FOR ELECTRICAL PERMIT <br /> C1TY OF EVERE7'f <br /> BUILDING DMSION <br /> 3200 CEDAR STREET' <br /> EVERB7T,WA982�1 <br /> 259-8810 <br /> . S� �i 1'1 oN .r,�,. v� •� 9� �7 s�«t{(. .4 b EuevYl'1 (w.lh �gZa'f <br /> �Du Mai!Addrcss <br /> c��Y staee/z�p �r� —�9 hone <br /> o►n�o � s � � <br /> TO°�°� MaU Addrcss . Cit <br /> Y StatdZip Phone <br /> �a���. Cl'� � .� . .' �0'S`�'1� LLe 1��1 9Y�o PI�rRdEeq6MS <br /> Flxtncal Contncwr Mul Address City S4te/Zip Phone State L icease No. <br /> �1�#'bo .o6 S�N�W �3-(.'�c� <br /> 2Contnct Pna of Work Proposed Uu of Bwld�ag <br /> , �l'a�+b SIINI /71�._��,f�+• \1 Q�j,�f� <br /> Projxt Addrcss <br /> Description of Work to Be Done:_�R�1 �1qh�1►�f � fr��e JF�i 1� c CyJ t'�'�Q � <br /> ` , <br /> � �--� VOONA. — - <br /> NOTE:WAC 296-46.Iqp']�EQL►�g'[�AT PLANS FOR ELECfRICAL WORK AT EDUCA'ITONAL, INS'I1'I'U170NAL OR <br /> HEALTH CARfi FACII,ITIES gg AppROVED BY TEIE STATE OF WqSFIINGTON. AppLICANfS WI1'H SUCH JOBS <br /> MUSf SHOW TF�S7'p�'E pppROVED PLpNS BfiFORE CIT`y OF EVERE7'pERMIT'WII,L gE ISSUED. <br /> NOT6:W]Rp•�G IN NON-DWELI.WGS IS REQUIRED TO BE IN MEI'qLLIC RqCEWAYS (MC Ah_D pC=�pg� <br /> ' NOTRACEWAYS). <br /> I HEREBy CER'fIFY THAT I HAVE READ qA1D EXAMINED TH?S APPLiCAT[ON AND KNp�y'('FI�SpME TO Bfi TRUE <br /> AND CORRECI', p[,I, pROVlSIONS OF LAWS AND ORDINp,A10ES GOVERNING THIS TYpE OF WORK WILd, gg <br /> COMPLb'('ED WI7'FI WF�I'HER SPECCIFIED HEREIN OR NO'C. THE GRANTING OF A PERMIT DOES Np'(' pRESUMg <br /> TO GIVE qiTCHpg�7�y TO VIOLATE OR CANCEL THE PROVISIO;JS OF ANY OTHER STATE OR LOCAL LqW <br /> REGULATJNG CONSTRUCfION OR TY& P6RFORMANCE OF CONSTRU;.'fYON. THAT I AM AUTHORIZED BY TFiE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLIt:,+TION IS MADE AND I COMPLY WITf�i <br /> Yf�STATE CONIRAC7'ORS LqW 18.27 RCW AND 296.7A0 WpC. <br /> X � ^ � F���� <br /> nature — v <br /> Date <br /> �.�71L1 <br /> ��«�rv�isro„ <br />