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APPLICA� �N FOR ELECTRICAL �'ERMIT <br /> CITY OF EVERE7T _ <br /> BUILDING DIVISION �-{� l S I Z-�,� <br /> 32p0 CE�AR STREEf <br /> �425�25I-8810201 �R ___.. <br /> 260� �L�' - ���-- <br /> PROJECT ADDRESS r�� � 1 � �O, � �/_ 1 ' 3O <br /> Q • � �- - � � � . �W PSI� W Ct r ana,. <br /> Mail Addrcsa � <br /> QWflef <br /> SlalelZip Phone <br /> AAail Addrcss �� <br /> 7enant — <br /> S ` SlatelZiP Phone <br /> Cily <br /> Mail Address � I �� QO <br /> Electrical Contractar -- <br /> Controd Price ot Work <br /> State License Number ' <br /> Proposed Use of Building ` _ � � <br /> 1 11 77 � A �a�n Strwc <br /> � �� <br /> Description of Work to Be Done: � _ ` � Ci <br /> 1 ` F AJiD � An t <br /> 1`POLo« O�� S r✓�G ` � <br /> n �n <br /> NOTE: PLANS FOR ELECTRICA <br /> L WORK AT EDUCATIONAL, INSTITUS�W�TH SUCHEJOBS MUST HO <br /> MUST BE APPROVED BY THE STATE �F WASHINGTON. APPLICAN <br /> STATE APPROVED PLANS BEFORG �S QUIRED O BERN 'RACEWAYS, MC OR ACAC B�46-140. <br /> NOTE: W�RING IN NON-DWELLIN <br /> WITHIN ACCESSI6LE SPACES OR ALONG ACCESS BLE�ROUTEIS OTF�TRAVEL SHALLBE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCGES OF WAC 5ES 0 SEC.SN06(b)4 E gSF AND NOT LESS THAN 36 NCHES AB�VE THE FLOOR. THE RFJ+CH <br /> �N . THAr I AM AJTHOR2ED BY THE OWNER OF <br /> MI7 OOES NOT PRESUME TO GIVE AUTHORITY i0'/IOIA7E OR CANCE�THE PROVISIONS OF ANY OiHER SiATE <br /> ! HEftEBY CERTIFY THAT I HAVE READ AND EXAMINED 7HI5 APPLIGATION AND KNOW TI'lE SAME TO BE TRUE AND CORREGi. A <br /> PROVISIONS OF L4WS AND ORDINANCES GOVERNING THIS TYPE OF WORK W�LL BE COMPLEi ED WHEiHER SPEClF1ED HEREIN OR NOT, <br /> THE GRANTING OF A PER <br /> OR LOCAL L4 W REGUTATING CON57RUCTION OR iHE PERfJRMANCE OF CON57RUCTION <br /> RC�W ANOP 96.200 WACRFORM THE WORK f'OR WMCFI APPU�AiION IS MADE AND 1 CONPLY WI7H THE STA7E CONTRAClaRs�W 18' <br /> � 9 FEE � IZ_.3 / <br /> �Dal� <br /> �'�gnalure / ///_� <br /> � LO <br /> [�fW1�tV�M�1 <br />