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CITY OF EVERE7-r <br />BUILDING DIVISION <br />3200 CEDAR STREET <br />EVE/�TT, WA 98201 <br />Tenent <br />� � <br />Elxtncal C�o�.ry��o� <br />Conlract Price of— <br />2'' � <br />%I�� Address <br />APPLICATIUN I'OR LLECrIt�C�, P��IT <br />Mail Address <br />Mail qddress <br />Mail Address <br />D�0^P��ao of Work to Be Done: <br />� G <br />Z-' /Z 7� <br />��_ <br />Ci ty <br />��� <br />Ci�y <br />Cit— �� p <br />� S� �r1.�� <br />Stnte/Zip — <br />Proposed L'se of �uilding <br />Slnte/Zip <br />259-8810 <br />Phone <br />PF.00e <br />Phone State License No. <br />� a � � 9-'//����---3c� <br />NOTE; WqC 296-46- <br />HEALY'H � 140 R&QUI�S THAT PLANS POR EL.6Cf��,yL �y0� AT F.' UCATIONAI„ INS <br />MUST SHOW� E STq7'gi p ROyED pLANS B FORfi CITy O EVER&T LRMIT W�LL BE ISSUFD <br />APPLTCANTg W�TIq UCH OBS <br />NOTH; µ7RiNG IN NON-DWgLLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS MC <br />NOT RACfiWqyS). <br />i ANG AC� ARE CADLES, <br />I HEREBY CERTIFY 7'HqT I HqVE READ AND EXAMiNED THIS qppLICATION <br />ANU COItRFC/', qLL PROVISIONS OF LAWS <br />COMPLETED W(Tg WHgTNER SPECIFIED HEREIN OR NOT. T({g GRANT/NC OF A��IT DOE�NOT PRESUME <br />AND ORDINqNCES G('VEItNtNG TFIIS TYpE OF WpRg �l.L BF. <br />TO GNE A(J'TppRJ�. TO VIOLKtE OR CANCEL THE PROVISIONS OF ANY OT}fER STATG OR LOCA[, Lq�{, <br />RECULATING CONS7RUC770N OR THE FERFOFi]yqNCE OF CONSTRUC('lON. THAT I AM AUTliORlZEp gy TNE <br />oWNER OF THIS PROPERTY TO PERFORM THE WORK FOR W({ICH APPLICArION IS MAJE At�p I COMPLY WITH <br />THE STATE CON'I'RAC7'ORS LAW 18.27 RCW AND 296.200 WAC. <br />Sisnr.piro <br />Dnte <br />r� ' � <br />— �' �---_ <br />A.�.�� nivo�, <br />