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Appl,I� �`rION FOR ELECTRICAL P- -�'IIT <br />CITY OF � `��TT <br />BUILDING DIVISION <br />3200 CEDAR S'IREET <br />EVERETT� wA 9R201 <br />F--�; �,� A; c_ �u fi y <br />ly"02 5,� . EYE� - <br />PRO.(ECT ADDRESS f l.n.-...- <br />lvfail <br />pwner <br />-sAHcE'-r-�6? <br />� <br />� � <br />Phone <br />City �/ p <br />StatelZip Pbone <br />�rl � II ��-- M311 i1f�dCPSS Y1%1 i�i J 02�J <br />Tenant fi�i'9PJu�i� ? i!- <br />n R/1X S�Z� � L y�'1�J� � p � r No <br />�L� CLi � <br />glatelZip hone <br />� � � ��� Matl Address C��y <br />Elec[rical Contractor ��. � <br />7 27� � ptaposed Use of Building <br />Contract Pnce of Work � �— � �.-� �Tl'�� <br />�E$I�IGfJ C /JS .. Gl., <br />Description of W�rk to Be Done: �---�� �__ <br />f}NN �LU <br />BE APPROVED BY THE STATE OF EVERHEf PERMIT WPLL BE ISSUEDITIi SUCH <br />NOTF: WAC 296-46-140 REQSIRES THAT PLANS FOR ELECTRICA F WURK 'AT EDUCATIONAL, INS7ITUTIONAL <br />OR HEALTH CARE FACILITI <br />JOBS MUST SHOW THE STATE APPROVED PLANS BEFOFtE CITY <br />NOTE: N1�R�NG IN NON-DWELLINGS IS REnUIRED TO BE IN MEI�ALLIC RACEWAYS (MC AND AC, AREONBWALLS <br />NOT RACEWAYS). <br />HANDICAPPED ACCESSIBILITY: ELECTftICAI- AND COMMUNICATIONS SYSTEM RECEPTACLE <br />WITHIN P:CCESSIBLE SPACELOORAW�C 51C20 SECL3706 �jZS OF TRAVEL SHALL BE MOUNTED-A M�N� � N <br />OF 1 5 I N C H E S A B O V E T H E F <br />ES OR ALONG ACCESSIBLE RQUTES � S THANE36 NCHES ABOVE THE FLOOR. �HE RF�CH <br />ENVIRONMENTALC AND 07HER CONTROL RECEPTACLES AND OTHER OPERA B L E E n U I P M E N <br />ACCESSIBLE SPA <br />RANGES OF WAC 51-20 SEC. 31061b14 E&F AND NOT LE <br />RqNTING OF A;'ERMIT DOES NOT PRESUME <br />VISIONS OF LAWS AND ORDINANCE G GQVERNING THIS T'FE OF WORK W�LL BE <br />I HEREBY CERTIFY THAT� I HAVE READ AND EXAMINED 7HIS A� PPLICATION AND KNOW THE SAME TO BE TR <br />AND COKRECT. ALL PR <br />COMPLETED WITH V�'HETHER SPECIFIE D H E R E I N O R N O 7. l H <br />WHICH APPLICATION IS MADE AND I COMPLY <br />'�ISTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED 8Y THE <br />TO �iIVE AUTHORITY TO VIOLATE OR CA(�CEL THE PRO`�ISIONS OF ANY O T H E R S T A T E O R L OC <br />REGULATING CO� <br />OWNER OF THIS PFtOPERTY TO PERFORM "f11E WORK F <br />WITH THE STATE CONTRACTORS LAVV 18.27 RCW AND 296.200 WAC. <br />�'� <br />Date <br />Fez "�-'—' <br />dccaPP i11=7194) <br />