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� . . �.. . . ..'_ ._. _._ <br />� — <br /> �79�z <br /> A�'�'LICATIpN T'Ort �LI±,C'�RICAJ, ���211�IT <br />( ..�T�• oF Fvr2r:rr <br /> llL1ILpING DIVISION <br /> 3200 CEDAIZ SI'REET <br /> GVCitLTT, WA 9R2C1 <br />' 259-8R70 <br />� �-m4�trf�FF� Z7IS lS�'S/' �UcIZCjT �1�. 96'21�1 259=.y'�.� <br /> O�mcr T4ail Address City �_ Statc/Zip Yhont <br />� . <br /> Tcn:ud ' Mail Acldrrss --- City ��State/Zip:---_� Phone�— <br />� ��o, �=�L�J �7� /� � Sa. S%���C.� _i,/_9y�3/.3� �Zz-�ys f�R,�ssz3.�K� <br /> Elcclricel Contractor Mail Address City State/Zip Yl�one StxteLicenseNo. <br />� � ��dd= - <br /> C:ontracl Price of Wmk Propused Use of Builtling <br /> 2� r.S � S� <br />' Project nddress � <br />� scrip�ion of Work to $c Donz: �(d1��T GA� �l/�Y P�2r //��U� �S�l�(1}2 _ <br /> II . Y4Cw-�2�y1 �Y_Sri c� ---__._..__ <br /> — --� _ <br /> I ..�.... -��.....:.._.., <br /> NOTE:IVAC 29f-4G-140 REQUIRES THAT PLANS FOR ELECTRICAL WOWC AT EDUCATIONAL, TivST1TUT;uNAL OR <br /> IirN,T11 CAI� FTACILITIGS DE AI'PROVGD Bl' 7'IIE STATE OF WASHINGTON. APPLTCANTS Wl'1 H SUCH JORS <br /> MUS'I'SHG1V TH.G STATE APPROVEll PLANS BEPOkE CI'1'Y OF EV�RL•T PfiR13fIT WILL TiE ISSUGU. <br /> N07'E�WiRiNG IN NON-DWPLLTNGS 1S R6QUIREb 7'0 BE IN hfETALLIC 32ACE1YAYS (1�4C A1vU AC, A}tL CAI3I.ES, <br /> NO"1'1:ACEWAYS), <br /> I HFREAY CLRTIPP TIiAT I F1AVE RFAD AND EXAMINF.D THiS AYPLTCATION AND KNOW THE SAME TO BE TRUE <br /> AND CO£.RECT. ALL PROVISIONS OI' LAWS AND OItI>INANCES GOVHRNING THIS TYF'E OF WURK WIi.i. J3F. <br /> I COD?LETED WITH WHETHER SPECIPIED HEREIN OR NU'1', 7'HE GRANTING OF A PERMIT D0�5 NOT FFtBSUME <br /> I TO G1VE AUTf�ORTTY TO VJULATE OR CANCEf, THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br />' RfiGULATING CONS7'KUC'fIUN OR THE YERFORMANCL OF CONSTRUCTION. THAT I AM AUTHORIZED RY THE <br /> OIYNER UP TH[S YROPF..RTY TO PFRFORM THF. R'ORI: FOR WHICH AYPLICATION IS MADE ANU I COMPLY VJITll <br /> TIIG S1'A1'G CC1NTkACTURS LAW 18.27 RC1i' AND 296.200 VJAC. <br />� <br /> ��• 7. 9k� Fec: 3� <br />' Signatur ' �� llele --- — <br /> 53�:5v <br /> ��. . . <br />