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APPLl :�TION FOR EL�CTRICAL 1 �T <br /> CITY OF EVERETT <br /> � gUILDING DIVISION <br /> 3200 CEDAIt.STREET <br />�r. <br /> EVERETT.H'A 98201 259-8810 <br />;�K � . �� � <br /> PROJE�T ADDRES /U ��'-�-.1� G,�� �(��U�{ 1��>3`I�-�J So <br /> � / �poo6 ���� " � � L Phone <br /> l� Q• (�• City StatelZip <br /> Ownec / <br /> Mail Address <br /> s�yi,� �'� �`Jvv.! State/Zip Phone <br /> City <br /> Tenant <br /> Mail Address <br /> SG��, C`� C�� SlatelZip Phone StateLicenseNo. <br /> Mail Address City <br /> Electrical Contractor ,�, � ��G�— <br /> 7� Propose3 Use of Building <br /> Contcact Pricz of Work L p �/ ,,.,p �� � yyr�,�,µf(�tGLu� <br /> C.��� � /{ Lt,C <br /> Descciption of Work to Be Done: <br /> NOTE:WP�C z96� E6FACI LTInESI BE APPROVEDNBYFTHEESTATE OF WASHINGTONUCAPPL CANTS �NITH'SUCH <br /> OR HEALTH CAR <br /> JCBS MUST SHOW 7HE STATE APPROVED PLANSOEB�N MET O IC RACE�NAYS'lMC AND AC, ARE CABLES, <br /> NOTE:WIRING iN NON-DWELLINGS IS REQUIRED <br /> NOT P.ACEWAYS). <br /> HANDICAPPED S B EESPACES OR ALONGiACC SS BLE ROUTESi OF TRAVEL SHALL BECMOUNTED A MINIMUM <br /> WITHIN ACCES <br /> OF 15 INCHES ABOVE THE FL OOR• WAC 51-20 SEC. 31061c} . <br /> ENVIRONMENTAL ESNOR ALONG ACCES OBLE ROUT SCOF TRAV�EL SHALL B�E MOUNTED �NITH NETHE REACH <br /> ACCESSIBLE SPAC <br /> RANGES OF WAC 51-20 SEC. 31061b14 E&F AND NOT LESS THAN 36 INCHES ABOVE THE FL00 • <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMIN�D TH�S EPGRANTIING OF A PERMITHDOES NOT PRESUME <br /> AND CORRcCT. H�WHETOHERI SPECIOFFED HEREI�N OR NOT TrH IONS OFRANY O H�ER STATE OROLOCAL LAW <br /> COMPLETED WIT <br /> TO GIVE AUTHORITY TO VIOLAT E O R C A N C E L T H E P R O V I S <br /> REGULATIN T�ISNPROPERTY '10 PERFORM �THE WORK FOP, `P�HICHCAPPNICATION S MMADE HAND I DCOMPLY <br /> OWNER OF <br /> WITH THE STAI"E CONTRACTORS L-P,W 1 a•2� RCW AND 296.200 WA . <br /> � �0 �- <br /> ,� ., F��_ <br /> ��— �ate <br /> Signature <br /> v <br /> decaPP(1?127/94) <br />