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APPLICATION FOR ELEI:TRICAL PERMIT <br /> CITY OF EVERETT <br /> BUILDING DIVTSION <br /> 3200 CEDAR STREET <br /> EVERETT, WA 98201 259-8810 <br /> /' / /' � l�l�//D l��J ,f�� /��.G�����r.c 4��� 6�102�.�3 <br /> Owner Mail Address C�ry State/Z�p Phone <br /> Tenant Mail Address City StatelZip Phone <br /> g������ Co�t�CtO� Mail Address C�ty State/Z�p Phone State L�censeNo <br /> Contract Price of Work Proposed Use of Huildin <br /> S6/S /s���"S,E .of39' s-r�, <br /> Projcet Address ,/ � <br /> �' `YJ/ d//L�/� <br /> Descripcion of Work to Be Done: � �C�C� <br /> nR HEA TH CA E6FACILTInESIBE A PROVEDN YFT�HEES ATEI OF WASHINGTONUCAPPOLCANTSSWI HTISUCH <br /> JOBS MUST SHOW THE STATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT WILL BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS RE�UIRED TO BE IN METALLIC RACEWAYS IMC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> WITHOIN ACC SSIBLEESPACES OR A ONGIACCESS BLE ROUT SI OF T AVELYSHALL BECMOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> RANGE3 OF THE 19970RBA�LOSEC 31061b114 ANDONOT L SS THAN 36 NCHES ABOVE THE FLOOR. THE REACH <br /> I HEREBY CERTIFI'THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br /> COMPLOETED WITHLWHET�HERI�SPECO IEDAHEREIN OR NOT. THE G ANT NG'OF A PiERMIT 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 AUTHORI2ED BY THE <br /> OWI�ER OF 'iHIS PROPERTY TO PERFORM THE WOflK FOR WHICH APPLICATION IS MADE AND I COMPLY <br /> WITH THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X � . O �- �� F�� <br /> � <br /> Signature D�le ^ <br /> i� <br /> ��sst� <br /> ��r��ra Pnaiva� <br />