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C[TY Of EVERETT <br />BUILDII�G DIVISION <br />�200 CEDAR STREET <br />EVERETT, �`� A 982P1 <br />L Hju, ���us <br />Owner <br />APPLICATION TOR G1,F,C7'RICAL PGRMIT <br />�71 � E`'erq'ee" <br />Mail Ad—Jrrs� <br />259-8810 <br />�veK1't' �/N '�9za�j `2qo—ISI � <br />City St�tz/Zip Phone <br />Tennnt Mail Address City StatelZip Phone <br />Electricnl Contrnctor Meil Address City State/Zip Phane State LicenuNo. <br />Conlrect Price of Work <br />Propused Use of Auilding <br />-;7L 10�r� bL SE �i � <br />r�o;�� naa«5 � <br />Description of Work to De Done: •' <br />Sf� �'/ 2a° <br />S <br />NOTE: WAC 296 46-140 RE�UIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL <br />OBS M1iUST SHOW THEISTA E APP OVED P ANS 0 FORE CITY OF EVEREIT PER NIT WILLL EAISSUEDITH SUGN <br />NOTE: WIRiNG IN NON-DWELLINGS IS REOUIRED TO �E IN MFl ALLIC HACEWAYS (MC AND AC, ARE CABIFS, <br />NOT RACEWAYS). <br />WITFDN ACCFSSIB EESPACFS OR ALONGIACCESS ALE ROUT SICOF RAVELYSHALL BECMOUNTLFD A MINIMUM <br />OF 15 INCHES ABOVE THE FLOOR. <br />F.NVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPEf'48LE E�UIFMENT WITHIN <br />RANGESIOF THE �gg�ORBALO CC. 3106Sb14 AND NOT L SS THAN 36 INCHESEABOVE THE FLOOFi. THE REACH <br />I HEREBY CERTIFY THAT I HAVE READ AND F.XAMINED THIS APPLICAT�ON AND KNOW THE SAME TO BE TRUE <br />AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GCVERNING THIS TYPE OF WORK WILL B[ <br />COMPLETED WITH WH[THER SPECIF�CD IiEREIN Ofi NOT. THE GRANTING OF A P'eRMIT DOES NOT PRESUME <br />TO GIVE AUT�IOfiITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER SiATE OP, IOCAL LAW <br />REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO P[RFORM THE WORK POR WHICIi PI'NLICATIOPI IS MADF AND I COMPLI' <br />WITH THE STATE CONTRACTORS LAW 18.27 RCW AND 29G.200 WAC. <br />L-�� <br />X '__ ___'�7� %f� Ft'C—_ 3S _"_ _ _ <br />� ---- <br />— Dutc <br />. igm+ture <br />.� / �ir�,rror�a;9a� <br />