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d 5� �Oq ApP�_ :ATION .FOR ELECTI2ICAL _:%RMTi <br /> CITY OF EVERETT <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 259-8810 <br /> LIFs'l3 G✓S/1G,c�ii�.c��_ .sP.+ce� <br /> YROJECT ADDRESS � a �,� �/ / <br /> 3� /4�� yI� ��o� /�� `�005� f�S3 � D3d � <br /> YY1 L rlt Ai� Ctty StatelZip Phaue <br /> Owner blail Address <br /> Tenant Mail Address <br /> Cit State/Zip Phone <br /> SU I'1'e A <br /> �� _ ,� 0 64,a�'czv�1>v3-v�o�Si�affaz.r32�Q <br /> SIND�(Z fi�L°b�2.�C ���� 'S StatelZcp Phone StateLicenseNo <br /> Electrical Contracto� <br /> Mail Address City <br /> �E''rkll �-- <br /> � 1����` B� Proposed Use of Building <br /> Coutract Price of Work � n <br /> Description of Work te Be Done: •�—����-w P � e N�� � �p�L � r����� <br /> I <br /> LQ,� ��na-9"� � <br /> /(�,[JguJ Z� Y � 1��-�-r Fuc7-�d'.e� /O � <br /> �J J � <br /> ------- <br /> ORTHEA TH CARE FACI LTInESI BE A PROVEDNBYFTHEESTATE UF WASHINGTONUCAFPLNCANTSSWI H ISUCH <br /> JOBS MUST .SHOW THE STATE APPROVED PLANS B[FORE CITY OF EVERET PERMIT WILL BE ISSUED. <br /> NOTE:WIRIN�i iN NON-DW�LLINGS IS REQUIflED TO BE IN MEl'ALLIC FiACEWAYS (MC AND .4C, ARc CABLES, <br /> NOT RACE`;�.4YS). <br /> WITHIN ACCESSIB EESPACE OR A ONG'ACC SS BLE ROUT SICOF TRAVELYSHALL BE MOUNTED A MINIiNUM <br /> OF 15 INCHES ABOVE THE F L O O R. W A C 5 1-20 SEC. 3106(c)2. <br /> ENVIEOS B ENSPACESNOR ALONG ACCESSIBLE ROUT SCOF TRAV�EL SHALL B�E MOUNTEDEWITH NETHE R'EACH <br /> ACC <br /> RANGES OF WAC 51-20 SEC. 31061b)4 E&F AND NOT LESS THAN 36 INCHES ABOVE THE FL00 . <br /> i HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br /> COMPLETED WITHLWHET�HEROPECIOFIED HEREAN OR NOT THE GRANTENGIOF A PIERMIT DOES NOT PREISUME <br /> R�EGU ATINGTCONS RUCTION U'� THE PERFORMANCE OF�CONSTRUCTIONYTHAT IRADA AUTHOHIZOED BY "�(HE <br /> WITHETHE STAT CONTRACTORS LAW 18 27 RCW AND 296.200 WAC.PPLICATION IS MADE AND I COMPLY <br /> X � _ �_97 F� �� <br /> Pate <br /> �ignat re <br /> 3��� elccnPp(IJ27/94) <br /> 5 <br />