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, _ : <br /> ,` . pppLICATION FOR ELECTRICAI. pERMIT <br /> CITY OF fiVERETT <br /> BUILDING DIVISION y5g.g810 <br /> 3200 CEDAR STREET <br /> E��TT,WA 98201 �/ <br /> 1 �'�.�� o.l!'� c <br /> • ,(' i � , , , �� � , Phone <br /> , ��. �;��� � • \ � ' � StatelZip <br /> � � � Ciry <br /> pwner <br /> Mail Address <br /> StatelZip Pho���/ <br /> Ciry ??</-�' .�- I� <br /> Tenant Maii Address _ 1'�,�'TF/2F1� . �='— <br /> � � -� . � C ^^ n <br /> ,� ' � i_ � " ll$ g�te/Zip Phone StateLicenseNo. <br /> `r, Mail Address City <br /> Elcetrical Cont ctor <br /> Proposul Use of Building <br /> Contract Price of ork <br /> S � ��ic�.P�v <br /> P�ojxt Address /' I� �. I/� !�,(/ / <br /> ar�a � � � <br /> Description of W�rk to Be Done: . <br /> NOTE:WAC 296RE FACI LTInESI BE APPROVEDNBYFOHEESTATEICOF WASHINGTONUC ApIP NCAN SS�N TH ISUCH <br /> OR HEALTH CA <br /> JOE�S MUST SHOW THE STATE APPROVED PLA�NTO BE WEME'fAo IC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOTE:W�RING IN NON-DWELLINGS IS REQUIRE <br /> NOT RACEWAYSI. <br /> HANDICAPPEE S BLEESPACES OR ALONGIACCESS BLE ROUT S'COF T�RAVELYSHALL BE MOUNTED A MINIMUM <br /> WITHIN ACC <br /> OF 15 INCHES ABOVE THE FLOOR. <br /> ENVIRONMENTAACESNOR ALONG ACCESSIBLE ROUT SCOF TRAVEL�SHALL B�E MOUNTED WITHWETHE REACH <br /> ACCESSIBLE SP <br /> RANGES OF THE 1991 u.B.C. SEC. 31061b14 AND NOT LESS THAN 36 INCHES ABOVE THE FL00 . <br /> 1 HEREBY CERTIFY 7HAT I FIAVE READ AND EXAMINED THITHEPGRANTING OF AKPERMITHDOES NOT PRESUME <br /> AND CORRE WITHL�NHETHERI�SPECIOFIED HEREAN OR NOT Av SEONS OFRANY OTHER STA EF OR�LOCALLLA�N <br /> COMPLETED <br /> TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO <br /> REGULATIF TH SNPROPERTY OR ERFORM �THE WORK FOR WHICHCAPPLICATIAONI SMMADEHANDEI COMPLY <br /> OWNER O ' <br /> WITH THE STATE CONTRACTORS LAW 18•27 RCW AND 296.200 WA . <br /> � n r C C F� �.'`�2• � l� I� <br /> Cce�!dii�i�r/� �� -/ a - ? � <br /> li' ` . Date <br /> Signature iJ <br /> ��«a�i+�na�9a) <br />