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APPLI�4TION FOR ELECT �AE.,P�ll ���� <br /> l� <br /> c�rv oF ev�Err <br /> BUILDING DIVISION ��=� 2 21995 <br /> 3200 CEDAR STREET ...... . _. _ <br /> __ <br /> EVERETT.WA 982ot CITY 0= EVERCTT 259•8810 <br /> Q��o• Permit Counter <br /> IOZ2�� �er�c+�M {Ne, <br /> PROJECT ADDRESS <br /> S �O � <br /> IV6tJ -� � 'S S�n10 ' � Phons <br /> Owner <br /> Msil Address City StatslLp <br /> Tenant Meil Addrses <br /> City StatelLP Phona <br /> � Z . ��� <br /> Fer� C-\cc C�� �� � }� U <br /> ��rv StetelLp Phane <br /> �ec cal Contractor Mail Address <br /> ��.,� ..D�< <br /> Conttact Price of Work <br /> Stata License Numher <br /> � ' s =.� <br /> Proposed Use oi Buildinp <br /> Description of Work to Be Done: <br /> NCTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> STATE APPROVED PLANS BEFO EACITY OF EVERIETT PERMIT WILIL BE ISSUEDN WAC 296 46 t140.T SHOW TNE <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS. (MC AND AC ARE CABLES, NOT <br /> RACEWAYS. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> FTM5NNC ES ABOVE THE FLOORAWAC 51C20 SECL3 061}2S �F TRAVEL SHALL BE MOUNTED A MINIMUM <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT W�TM�N <br /> RANGES'OF WAC 61-0 S C 3 O6lb)4EE & F AND NOT ESS THAN 6HNCHES A OU ETTHE F OOR,�E REACH <br /> 1 HfRfBY CfRTIF1' THs1 T l HAVE READ AND IXAMlNED 7HIS APPLlCATlON AND XNOW TNE SAMf TO BE TRUE AND CORRECT. Afl <br /> PROVISIONS OF W WS AND OROINANCES GOVfRNING 7H1S TVPE Of WORK WlCL BE COMPLETED WHETNER SPEClF1ED HEREIN OR NOT, <br /> TNE GRANTING Of A PfRM/T DOES NOT PRESUME TU G1Vf AU7HORITY !'O VIOLATE OR CANCEL THE PROV/SlONS OFANY OTHER STATE <br /> 7NIS PROPfRTY TOGPER!-0RM THE WORK F-0R WHICH APPLICAR ON l MADEANO�COMPLY W1TH THE S A�CONTRACT RS LAW 8�� <br /> FCW AND 296.200 WAC. <br /> � FEE �=_� _— <br /> Date <br /> SiO�eture <br /> , [ItCM�FV N51 <br /> ,5���R <br />