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1�1 <br /> APPLICATION r01:;� EL�CTRICAL PLRIb1IT <br /> CITY OF �VERETT <br /> BUILDING DIVISION <br /> 3200 CEDAR STftEET <br /> LVERETT, WP. 982GI <br /> ' - - 259-8B10 <br /> L:�; ili � i-�r�n�o 5 �'�'S1C r� h� r,-��r (�v�.,� • � �lcr: �i � IJL� v.�A �l�io�, lz_,�13z5 ����ac <br /> Owner Mail Address - <br /> C��Y StatelLiP Fnone <br /> iV A <br /> Tenant Mail Address City State/ZiP Pho:ie <br /> \1 o�� kkr�� }`.\trifiC T r�c I �C�4 <br /> Electrical Cootractor Mail Add�ess Ciry Smte/Zi Phone <br /> P Stale LicenseNo. <br /> �r Z <br /> Contract Price of Work Propose�J Use of Building "— <br /> � <br /> �rl� C 'I � i <br /> ��: �� �(5 i�-C � � / r�- ��/c� <br /> Project Address <br /> Description of Work to Se Done: �p O A�,. �1 ��F ,�_-�_�-�c�� � �-.� t c�c <br /> NOTE:WAC 296-46-140 REDUIRES THAT PLF.NS FOR ELECTfi�CAL WORK AT EDUCATIONF�L, I�;STITUTIONAL <br /> OR HEALTH CARE FHCiLITIES BE APPROVED BY THE STA"i E OF WASHINGTON. pFPLIi;ANTS WITH SUCH <br /> JOBS MUiT SHOW THE STP.TE A'r PROVED PLl�,NS BEFCRE CIT'( UF EVEricT FcR�vilT bVILL EE lSSL'9D. <br /> NOTE: WIRING IN NON•DWELLINGS iS REQUIRED �0 OE IN METALLIC RACL"WAYS (M;. AND AC, ARE CABLES, <br /> NOT RACEW,'�YS�. <br /> HANGICnPPED ACCE56181LITY: ELECIRICAL AND COM\AUNICATIONS SYSTEM RECErl'ACLES ON WALLS <br /> WITHIfR ACCESSIBLE SPACES OR AL'JNG ACCESSIBLE ROUTES OF TRi,VFL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR, <br /> EN✓IRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERHBLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPF�CES OR ALONG ACCESSIELE RUJTES OF TP,AVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF TIiE 1991 u,B.C. SF.C. 3106(b)4 AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> i HEREBY CERTIFY T4AT I HAVE READ AND FXAMINED THIS APPLiCATION AND KNOW THE SAME TO BE TRUE <br /> AND CORRECT. ALL PROVISIONS OF L�WS AND ORDINANCES GOVEf;NING THIS TYPE OF WORK WILL BE <br /> COMPLETED WITH WHETHER SPECIFIED HL'REIN OR NOT. THE GRANTI'•!G OF A PERPAIT DOES NOT PRESUME <br /> TG GIVc AUTHORiTY TU 1/IOLATE OFl Cl,NCFL THE PROVISIONS OF ANY OTHER STATE OR LUCAL LAW <br /> REGUL.4TING CO��STRUCTIOh GR THE PF.RFU�Nt,��'�'E OF CONSI'RUCTION. THAT I Alvl AUTFIORIZED BY 7HE <br /> OWNER OF THI5 PROPEkTY TO PERFORM l4E :'v;��;K FOR WHICH APPLICATION IS MADE AND I COMPLY <br /> WITH THE STATE CONTRACTORS LAW 18.27 f;CV'AN') 296.200 WAC. <br /> � �� k' ���� � ' cl{� � ��.j� C1N �'�. <br /> .� / �_, ree �.> <br /> Signature Dale <br /> �� , '�i �� i <br /> � <br /> l ` � �����rr(�rtai9a> <br /> --- ._ ----- _ _ �— _�_�_ .. <br /> — _ _— _ _ _.. -•�--'__ � _.T. . <br /> - ..,, _.� <br />