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APPLICAT� �N FOR ELECTRICAL( . ERMIT <br /> cm oF ev�err <br /> BUILDING DIVIS/0N <br /> 3200 CEDAR STREET <br /> EVERETT, WA 98201 . <br /> (425) 257-8810 <br /> 7v7 s��'�'sE ��"T w.r p.f'2a3 <br /> PROJECT ADDRESS <br /> ��,e� u�ooT�.v s��''`"`s� E�r.xETT �� , p�Za3 zs9- i8'2/ <br /> Owner Mail Addrau City Sluel�p PMn� <br /> Tenant C.�� Mal�Adtlress ciry Stata2lp Phorn <br /> GA��➢�✓d �SC�Aic/O E��T.t'/C i� �oBd?�/7..7�2 ST�t•tJa.bC�O �•� $r29Z�736/7 <br /> ElectricalCanVacto� MailAddress Cny StatdLp P�e <br /> c,iµ.rlilN/f7f�/�/�1� Contract Price of Work <br /> State License Number • <br /> �F,ry,�r o.���,,v� <br /> Proposed Use of Building <br /> £ L�rL�' ZG�o�a�� /o�-'`/�`—G �t0� — <br /> Description of Work to Be Done: �E.NddE�i!/O /1 /� <br /> �tJtG ��l.�it � <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> S ATE APPROVED PLANS BEFORE CIT`(OF EVERETT ERM TPWILL BE ISSUEDS WAC 96-46-U4 T SHOW THE <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HHNDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> F SI NCHES ABOVE THE FLOORA WAC 51 20 SECB3E06(c)2.ES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> RANGES OF WAC 5E 20 SEC SN06(b)4 E&F AND �DT LESS T HN 36 NCHES ABOVE THE FL/OOR. THE REACH <br /> !HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TH1S APPLICATIUN AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVlSIONS OF LA WS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHET�'1ER SPECIFIED HEREIN OR NOT, <br /> OR LOCALTLA W REGUTATING CONSTRUCTRON ORETHE PERFORMANCE OF ONSTRUCTION. THA�AM AUTHORIZED BY THE OWNER OF <br /> THIS AROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE CONTRACTORS LA W f8.27 <br /> RCW M!D 296.200 WAC. <br /> �-z�-s� FEE <br /> SignaWre Date <br /> lLfClfl�lV tOl)� <br />