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CITY OF EVERE'17' <br />BUILDING DMSION <br />3200 CEDAR STREET <br />E���TT, WA 98201 <br />Owner <br />Teoant <br />E�xtrical Contnctor <br />� lv� — <br />Contract Price of Work <br />�3Z ��ST <br />Project Addreas <br />A-PPLICATION FOR �LECTRICAL pER�IT <br />Mail Address <br />Meil Address <br />Descriptioo of Work to Be Done: <br />AJdrcss <br />ciry <br />C�—�_ <br />(SmT�' A.iE. tS� \ <br />Ciry State/Zip <br />�-Es, <br />Proposed Uu of Building <br />00� �..ir.,..� <br />StatNZip <br />Slate/Zip <br />259-8810 <br />iSc�72. <br />Phone <br />�'8'733 <br />Phone <br />`�rEP-i-EIo95�1 <br />Phoae State License No. <br />4'd�-4122 <br />NOTE: WAC 296-06-140 R&QUIREg'�AT PLANS FOR ELEC/'RICpi, WpF�( AT EDUCATIONAL, INSTI'I'UTTpNqI, OR <br />��1I-TN CNiE FACILI'►'IES gg qppROVED BY TH& STATE OF WASHINGTON. APpLICANTS WI'['H SUCH JOBS <br />MUST SHOW THE g7'q'�'� qppROVED PLANS BEFORE CITy OF EVEItET pgR�y,T �yJLL BE ISSUED. <br />NOTE; W[RING IN NON-DWEL,[,[p�GS IS REQUIRED TO BE IN METqZ.I.T� RqCEWAYS (MC AND AC, ARfi CABLF,S, <br />NOT RACEWAYS). <br />I fiEREBY CERTIFy T'[iAT I HAVE READ qhfD EXAMiNED THIS APPLICATTON AND IWOW THE SAME TO BE TRUE <br />AND CO:,itECT', ALL PROVIS70NS OF LAWS AND ORDINrWCES GOVERNING 7'H]S 7'ypE OF WORK WILL BE <br />COMPLEi'SD WfTy W��ER SPECIFIED NEREIN OR NOT. THF. GRAN7TNG OF A PERM[T' DOES NOT PRESUMg <br />TO GNE AUTIipR]7y Tp VIOLq7'E OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br />REGULA7'(NG CONSTRUCTION OR THE PHRFp(t)KpNCE OF CONSTRUCTION. THAT I AM qUTyp�ZED BY THE <br />OWNER OF 7'HIS PROPERTY TO PERFORM 7'HH Wp�]{ FOR WHICH APPLICAT[ON 1S MADE AND I COMPLY WI'►'H <br />THE STATE CON7RqC7'pRS LAW 18.27 RCW ANp 295,Zpp y✓AC. <br />Signature <br />Datr. <br />h!/SO/ <br />Fee___,�_ <br />e�eoerr C��sroJ> <br />