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CITY OF EVERETT <br />BUILDING DMSION <br />3200 CEDAR STREET <br />fiyERETT. WA 98201 <br />doa� f <br />PRO7ECT ADDRESS <br />Ovmer <br />^ <br />A,PPLI� TION FOR ELECTRICAL I�T <br />I��/N� �.� . <br />Address <br />� <br />City <br />oy� �87-67no <br />StatdZip Phone <br />Ciry State/Zip Phone <br />Tenant Mail Address n 0 80� %g7"�. %��G.`LG� � ���E <br />al�ot�Q/C.� ��NGR Lon�'RS. S�3 � Nw�war. t�✓.0�9ifD'/G <br />Mail Address Ci y <br />State/Zip Phone State LiaenseNo. <br />Electrical Contractor <br />2 G ot� � o��e u�e � - <br />Con ract Price uf Work Proposed Use of Buildmg <br />Description of Work to Be Done: <br />2oo,a„„ s�Kv�cti /lou �,ti <br />ORTHEALTH CARE FACILITInESI BE A PROV D BYFT�HEESTATECOF WASHI GTON. CAPPL CANTS W TM ISUCH <br />JOBS MUST SHOW THE STATE APPROVED PIANS BEFORE CITY OF EVERET PERMIT WILL BE ISSUED. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACE�NAYS (MC AND AC, ARE CABLES, <br />NOT RACEWAYSL <br />HANDICAPPED ACCESSIBILIlY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTA�LES ON WALLS <br />OF 15NNCHES ABOVE THE FLOORAWAC 51C20 SECL31 6 c)ZS OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />ENVIRONMENTAL AND OTHER CONTROL HECEPTACLES AND OTHER OPERABI.E � Q U I P M E N T WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUN�i ED WITHIN THE REACH <br />RANGES OF �NAC 57-20 SEC. 3106(b14 E&F ANL NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br />COMPLET D WITHLWHETHER' SPECIOFIED EREIN OR NOT. THEEGRANT NG'OF A PfERMIT DOES NOT PRESUME <br />REGULATINGTCONSTRUCTION OR THE PERFORMANCE OF�CONS7RUCTIO d THATERAM AUTHORI ED BY TNE <br />W THETH�STATE CONTRACTORS LAW 18 27 RCW AND 296. 00 WAC. PP'_ICATION IS MADE AND I COMPLY <br />X �AA� k/- 'V�L��✓v \ o' (_ ( <br />Siguature <br />lla[e <br />// �/i/-�r.� elecePP (IS7l94j <br />�� �r� <br />