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� � <br /> APPLICA'TION FOR �LECTRICAL PERMIT <br /> . <br /> (�TY OF EVERfiTT <br /> gUII,DINd DIVISION <br /> 32pp CEDA,R STREFiT 259-8810 <br /> gy�g�'(',WA 98201 <br /> Ciry <br /> StatelZip pbO°O <br /> ��� M�il Address , .� Y <br /> . E . w ob <br /> W � 00 f�Ew l State/Zip Phoae <br /> J Ciry <br /> Tmmt M�il Addrcss <br /> s'�y..� SutelZip P6one Sbte LiaaseNo• <br /> Wl�il Address City <br /> Elatricd Cootractor W��. 9iP'05�6 7 �+' �;C' B��sl3 <br /> P o. ox�3.�, � n�woov <br /> Q cr9 M V A 1 FO N GA � pro��Use of Bwldmg <br /> Canttact Parice of Work <br /> d3z �V� E'VE7t8'T'T r,��, 9 8'�'°b <br /> A_ i�_u�. � � <br /> �Z— <br /> Projeet Addroa S �qN,p� �v o- Pe/e S <br /> pmeription of Wock to Be D°ne: <br /> stisr�u- oNE r � <br /> L <br /> �, ,� w(�4�c. 5 /crN <br /> NOTE:WAC Z96-46•140 RTInSI BE APPROV DNBYFT�HEESTATEICOF VERET P RMI�T WPP BE�S UEDITH'SUCH <br /> OR HEALTH CARE FACIL <br /> JOBS MUST SHOW�E STATE APPROVED PLANS BEFORE CITY OF <br /> NC`TE:W�RING IN NON-DWELLINGS IS REQUIRED TO BE IN METALIIC R,4CEWAYS lMC AND AC, AFiE CABLES, <br /> NOT RA <br /> CEWAYS). ON WALLS <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES <br /> WITHIN A HE ABOVE THE FLOORALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE W70UNTED A MINIMUM <br /> OF 15 INC <br /> ENVIRONB E SPACESNOR ALONG ACCESSIBLE ROUTESCOF T AVEL SHALL BE MOUNTED WITHI'1ETHE REACIH <br /> AC'CESSI <br /> RANGES OF THE 1991 u.B.C. SEC. 31061b14 AND NOT LESS THAN 36 INCHES ABOVE THE FL00 . <br /> I HEREBY CERTIFY TNAT I HAVE r�EAD AND EXAMINED THIS APPLICATIQN AND KNOW THE SP•ME TO BE TRUE <br /> AND CORRECT. ALL PROVISIONS OF LAWS �ND ORDINAV SEONSOOFRANY OTHER STA EFOROLOCALLIl��N <br /> COMPIETE� W�TR',TM TOHVIOLATEfOR HANCEL�HEOPR�CONSTRUCTION. THAT RAM AUTHORIZEDRBY 'mE <br /> TO GIVE AUTHO <br /> REGULATING CONSTHUCTION OR THE PERFORMANCE OF <br /> OWNER OF ATE CONTRACTORS LAW a Z7 RCW AND 296.'200 WAC.PPLICATION IS MADE AND I COMPL <br /> VV17}{ THE ST <br /> � <br /> 9 Fee� <br /> x -� � �-S " _— <br /> �� ,.,,.,. �,c� <br /> Sign �ro `� <br /> C(�3� �ir�,rr oa<roa) <br />