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APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERETT <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> (,�t2S0Y� �ST �BD� 76� Sl�l�✓ l�f IGC�lGT�p �/�" �6�ZID 3 y8 B3�ne <br /> Owner Mail Address C�ty <br /> Tenant Mail Address City StatelZip Phone <br /> l+�r�� [�cr��e iuc Po !aol M,��'so�cc� c„�- 9daZo 6s�9y3s /�r�a�=�.�urK <br /> Electrical Contrac[or Mail Address City StatelZ�p Phone State LwenseNo <br /> /�C �" ��1� <br /> Contra'ct'^Pn��q�f Work Proposed Use of Building <br /> Y� � 23 '�� ��E �— <br /> Project Address <br /> ' Description of Work to Be Dane: <br /> 22Q66 .�P S��G/cG` i(J�U S�ie �O <br /> OR HEALTH CARE FACIL TInESI BE A PROVED BYFT�HEESTATE OF WASHINGTONUCAPIPL CANTSSWITH ISUCH <br /> JOBS MUST SHOW THE STATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT WILL BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> WITHIN ACC SSIB EESPACES OR ALONG'ACCESS BLE ROUTESICOF TRAVEL SHALL BECMOU TED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOF.. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHEF OPERABLE EQUIPMENT WITHIN <br /> RANGESI OF THE 7991�RBA�LOSCC 3106(b)I4 ANDONOT LEOSS THANE36 NCHES ABOVE THE FLOOR. THE REACH <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK W�LL BE <br /> CQMPIETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <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 AUTHORIZED BY THE <br /> OWNEH OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY <br /> WITH THE STATE ONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> � � <br /> X l; / �lr� J� 1-s - t F� 3� <br /> S' nature Date <br /> � ��jl �� <br /> U el<capP(3/S193) <br />