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- —_m.._-.._ <br /> YI<UI"I�L� � T U^ C4CRC11 CLUU UI'I IU•71GV�bN4L1Jl�� <br /> JUN GG• 177� 119�1�`H^I Fdt�L" Y.l�d <br /> f � <br /> ; � A.PPLICATION FOR �LECTItICAL PERMIT <br /> CITY OF fiVGR�TT <br /> IIUILDING DIV]SION nv <br /> 3200 CEDAR STRI:LT Q,�'� <br /> EVERLTT,WA 98201 Y 259•88f0 <br /> ���F�G�,r� pE51�N(,�RQuP Qoo �AYTD�1 F,�`�oNos WA 98o2c <br /> p�,�pu T�lail Address City Sute/Zip Phone <br /> Q.GMA 1� �.Q I"1 /�Au Fj c. s7 �/E R.�ifr �.l A. 9 a?.0`7 <br /> Ten�nt M�il Address Ciry SutelZip Phone <br /> ?.rXo�334lost <br /> P�EI. A�R.� fN� 2��2 b�v�s��n s'f� 8f.�u�l�u�In� Wa 98?.,� �E�asNA��a4T <br /> Electric4l Controctor M�if Addrese City StetelZ�p Phone Sutn License No. <br /> �a$7� b� a FGr� - - <br /> Cuntnct Pricc of�'b'ork Pro{wsed Use of BuildinQ <br /> 2qi'1 P�uF�� sT r.v�r, wa, y82.�S <br /> Yrojat Addre:s <br /> �sra�c- (f3� 'I�-f+EK.Mos�A�'s An� �w <br /> Dcicription of WorA :o Bc Done: �_.�� <br /> �OIiTAbF '.nll��r�Lt. � <br /> NO'fE:WAC 29b-46•140 REQUfRES T!?fAT PLANS FOR GLECTR]CAt WORK AT EbUCATIONAL, INSTITUTIONAL UR <br /> Hti�L'fH CARB PACILiTIF.S DE APYhOV6D BY TI{£ STATE OF WASHINGTON. MPLTCANTS W1TH SUCH JOBS <br /> MUST SI{OW THB Sl'AT'E APPROVBD PLANS BEI�ORE CJT1'OF EVE1tET PERMIT W1LL BE iSSULD. <br /> NOTE:WIRING IN NON-DWELI�WGS IS ;�QUIRED TO IIL IN METALUC RACEWAYS (MC AND AC, ARE CADLF.S, <br /> NOT RACEWAYS). <br /> 1 HERFllY C�RTIFY'fHA'C 1 HAV6 READ Ai�`D EXAMINFD THIS APPLICATION Mb KNOW T1dE SAME TO Hfi TRUk <br /> AND CORRLCf. ALL PROVIS10�5 OP LAV�'S AND OFtD1NANCES GOVERNING TIi1S TYPE OF WORY. WII.L BG <br /> COMPLLTED 1�1'IT[9 R'HETHER SPEGFIGD HEREIN OR NOl'. T}IE GRANTIN(3 OP A PfiitMi'f boES NOT PRESUM6 <br /> TO G;VE AUTHORlTY TO V[OLHT� OR CANCEL TNE PROVISiUNS OP ANY O'fH�R STATE OR LOCAL LAW <br /> kEGULATiNO CONSTRUCTION OR THfi PGRfORMANCF OF CO�STRUCTION. THAT I AM AUTHORIZED 8Y TH6 <br /> OWNEIt OF TI{]S PROPFR7'Y TO PERFORM TIiL�'�'ORK FOR WI{ICI�I AYP_ICA7'ION IS MADH AND 1 COMPLY WITI{ <br /> THE STAT6 CONTRACTURS LAW 18.27 RCW AND 29G.200 WAC. <br /> x Q. /�y�- _ (0 2z _ F�l �4. �h <br /> pIC <br /> $1 N1U�C <br /> ��«•rc O�sr97) <br />