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CTC}C OF EVERETr <br />gUILDING DIVISION <br />3200 CEDAR STREET <br />EVERETT. WA 98201 <br />pvmtr <br />Tenant <br />�, <br />APPLICATION FOR ELECTRICAL PERMIT <br />Mail Address <br />Mail Address <br />Ciry StatelZip <br />City <br />"' // Ma�l AJdress City S P6one <br />259-8810 <br />Pbone <br />Phone <br />State LicenseNo. <br />Elaxtrical Contractor < ^ � � <br />--- "�--__ <br />Proposed Uee of Building <br />Contract Price of Work �r� <br />�1 iJ 1 L f�'ST S�i� L�Z�� / ,� <br />Project Address n - - � J - - - . //sri �i�� '� <br />Description of Work to Be Done: <br />NOTE: WAC CARE FACI LTInESI BE A PROVED BYFT�HEES ATEICOF WASHINGTON. C APIPLNCANTS WITH ISUCH <br />OR HEALTH <br />�OBS MUST SHOW THE STATE APPROVED PLA�NTO BE� NEME'fAL�LIC RACEWAYS (MC AND AC, ARE CABLES, <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRE <br />NOT RACEWAYS). <br />HANDICAPPED S�B EESPACES OR ALONG'ACCESS BLE ROUTES OF RAUELYSHA BECMOUNTED A MINIMUM <br />WITHIN ACCES <br />OF 15 INCHE� ABOVE THE FLOOR. <br />ENVIRGVNIENTAL AND QtHER <br />ACCESSIBLE SPACES OR ALONG <br />CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT W�THIN <br />ACCESSIBIE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br />RAMGES OF THE 1991 u.B.C. SEC. 31061b14 AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />I HEREBY CERTI ALL PROVIS ONSEOF LAWSxANDINORDINANCESLGOV RNING H S W PEE�F W RK WILLRBE <br />pND CORRECT <br />COMP! El ED WITH WHETHER SFECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUM <br />TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIOH CH A� LICATIONR�S MADE AND I COMP Y <br />REGULATING CONPROPERTOYNT RP RFORM �THE WORK�FOR y�l TRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS <br />WITH THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WA • <br />� , /% _ � � .._�,,. F� 3.�v <br />X <br />Signature <br />Date <br />�SSq3 <br />��c�.�P �nai9a� <br />