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acco r5oz <br />APPLICATION FOR ELECTRICAL PERMIT <br />CITY OF EVERETT <br />BUILDING DIVISION <br />3200 CEDAR STREET OL <br />EVERETT, WA 98201 259-MlO <br />/� rams G✓A <br />>oci✓G (a+^uo.�r .nop[.rrt /�0 8o,c 370� .tis�•✓ SG ry��ZS/-lze� 9yt >'jsG <br />Owner Mad Address City state/Zip Phone <br />J ArJ c <br />Tenant Mail Address City state/Zip Phone <br />flta�/ �ccs�K 6�S 16 el S2./ C_vcsrlr !,A 981 of 347-7 co Dur/aec/37P3 <br />Electrical Coctractof Mail Address City state/Zip Phone State UcenseNo. <br />dr ev /1-/a.1f/Fdcruv1N6 <br />/ 96 000. <br />Contract Price of Work <br />Proposed Use of Building <br />/3OL/I✓G 6-vc,ecT7- �u aoi.�G yo -03 yo -53 <br />Project Address <br />Ar Vo-z3. <br />Description of Work to Be Done: �£� c a ce ye vT OF F'X'sn�/G <br />h/�r►/ <br />NOTE' -140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL <br />FACILITIESOR HEALTH CARE APPROVED BY THE <br />APPLICANTS <br />JOBS MUST SHOW HESTATE APPROVED PLANS BORE CITY OF E ERSTATE OFHET PE MT WILL BE ISSUED TH SUCH <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br />NOT RACEWAYS). <br />HANDICAPPED ANDSYSTEM RECEPTACLES ON WALLS <br />IONS <br />WITHIN ACCESSIB EESPACE OR A ONG(CAL ACCESS ACCESSIBLE ROUTES OF RAVELS ALL BE MOUNTED A MINIMUM <br />OF 16 INCHES ABOVE THE FLOOR. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />RANGES OF HEBLE ACES 1991 OU.B C. SEC. 1061b)4 ANDROUTES <br />NOT LESS THAN 36 INCHES ABOVE MOUNTED <br />E FLOOR. <br />REACH <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br />AND CORRECT. S TYPE OF WORK <br />BE <br />COMPLETED WITH WHETHER PROVISIONS A GOVERNINGWS AND ORDINANCES I <br />WHETHERSPECIFIED HEREIN OR NOT. THE GRANTING A PERMIT DOES NOT P EISUME <br />TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br />REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY <br />WITH THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />X L i /:�i� > ree - <br />�I'(�� <br />�i«,pt, (:124193) <br />Signature Date <br />46 <br />