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APPLICATION FOR LL�CTRICAL 1'LRMIT <br /> CITY OF EVLRLTT <br /> IIUfLDING DIVISION <br /> 9200 CEDAR STRL•LT <br /> GVERETT, WA 98201 259-8810 <br /> P/�Ii4EE Ct_a��n� 9�is-io"� �vr-_ , s�.r. �vc'r2.:rr' v�r� . <br /> Owner Mnil Address City Stnta/Zip Phone <br /> /�/MCr /�/f�/f2 �iS r-ias-rcHSiNo �'b.s�•�cc-3 �vc-izi�-1- w,� � <br /> Tenanl Mnil Address City Statc/Zip Phone <br /> SS�3 <br /> $k: �r.'NE"ON t� Pn C3o�i SJC ! L hn .,�c� W19 rl.�(�v� '»6-883"' BF�kYNco <br /> �.._ �--- Y <br /> Elxtrical Contrector Mnil Address City Stntc/Zip Phono State L�censeNo. <br /> � �z� ��o �— i-�ai�e �A� ,�. <br /> Conlrncl Frica of Wark Proposed I'su of I3uilJing <br /> 3/.�— EiRs'Tc.'�s'/NU ��(7• SPi?CE # � <br /> Projeot AJdress <br /> Lescription o(Work lo IIn Done: rry S '��-�� �LG ""' �h�`f�'`I , S�j�' _Si>n B /� <br /> . C3L1�Cs-• �i�ci✓� . <br /> NOTE:WAC 296-A�-140 RE�UIRES THAT PLANS FOR [L[CTRICAL WORIC AT EDUCATIONAL, INSTITUTIONAL <br /> OR HEALTH CARE FACILITI[S BE APPROV[D BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH <br /> JOBS MUST SHOW TH[ STATE APPROVED PLANS DEFORE CITY OF EV[RET PERMIT WILL 8ElSSUED. <br /> NOTE:WIRING IN NON•DWELLINGS IS R[�UIR[D TO UE IN M[TALLIC RAC[WAYS IMC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> HANDICAPPED ACCESSI�ILITY: [LECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIOLE SPACGS OR ALONG ACC[SSI�LE ROUTES OF TRAVGI SHALL OE MOUNTED A MINIMUM <br /> OF 15 INCHES AOOVE THE FLOOR, <br /> ENVIRONMENTAL AND OTHER CONTROL R[CEPTACL[S AN� OlH[R OPERABL[ E�UIPMENT WITHIN <br /> ACCESSIOLE SPAC[S OR ALONG ACCESSIOLE ROUTES OF TRAV[L SHALL OE MOUNTED WITHIN THE REACH <br /> RANGES OF THE 1991 u.�.C. SFC. 310G1b)4 AND NOT L[SS THNN 3G INCFIES AUOVG THE FLOOR. <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXA!MINED THIS APPLICATION �ND KNOW THL' SAME TO OE TRU[ <br /> AND CORRECT. ALL PROVISIONS OF LAWS /�iJD ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br /> COMPLETED WITH WHETHER SPECIFIED H[REiN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIO�S OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE P[RFORAI.4NCE.OF CONSTRUCT!ON. TH�T I AM AUTHORI2ED DY THE <br /> OWN[R OF THIS PROP[RTY TO P[RFORM THC WORK �Ofi WHICH APPLICATION IS MADE AND I COMPLY <br /> WITH THG STATE CONTHACTORS LAW 1 f3.27 RCW AND 29G.200 WAC. <br /> X � /2 -/ — 9L__ r� � � - <br /> _„�a a� a� D�L-•� <br /> si ,wro D,�u <br /> % <br /> ���' � �� � <br /> �ir��rr�n�roa <br />