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APPLL IMON FOR ELECTRICAL 1•.RNTIT <br /> CITY OF EVERETT <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 259-8810 <br /> PROJECT ADDRESS <br /> L` 14z C <br /> Matt Addess State/Zip Phone <br /> .—.�C dy <br /> Owner <br /> r <br /> Phone <br /> City <br /> Stalc/Zip <br /> Tenant <br /> Mail Address <br /> LAI _ Statel7.ip Phone Mail Address State LicenseNo. <br /> Electrical ContOn <br /> r <br /> Contract City <br /> Proposed Use of Building <br /> Contract Price of Work <br /> �F�%f?STZh✓�u�- <br /> Description of Work to Be Done: IAT <br /> OR <br /> LECTRI'.�Al- WORK AT <br /> NAL <br /> NOTE: //HEALTH CARE FACT REQUIRES <br /> BESAPPROVEDNBYFTTHEESTATE OF WASH)GTON. APIPLICANTSSW WITH )SUCH <br /> OR HEA PLANS <br /> JOBS MUST SHOW THE STATE APPROVED 1U RED TO BEFORE <br /> CITALOF RACEWAYS IMC AND AC,EVERFT PERMIT WILL BE ISSUED. <br /> CABLES, <br /> NOTE:WIRING IN NON•DWELLINGS IS R <br /> NOT RACEWAYS). <br /> HANDICAPPED <br /> ACCESSIBLE ACCESSIBILI <br /> OR ALONGIACCESS BLE ROUTESCAL AND OF TON VELNS I BFf MOUNTED A MINIMUM <br /> WITH) <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 310(i(c)2. <br /> ENVIRONMENTAL <br /> AND OTHER ALONG CONTROLACCESSIBRECEPTACLES <br /> ROUTES OF ANDEL SHALL BE MOUNTEDWITNT NE THE RIEACN <br /> ACCESS <br /> RANGES OF W' �C 51-20 SEC. 31061b14 E&F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> CATION AND KNOW THE SAME TO BE TRUE <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLI <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF NOT WILL BE <br /> COMPLETED 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 LAVE <br /> MANCE OF CONST <br /> REGULATIF THSNPROPERTOYN ORTHE PERFORM FOTiE WORK FOR WHICH CAPPLICATION STION. THAT I MMADE AND EI COMPLY <br /> OWNER 0 <br /> WITH THE STATE CONTRACTORS LAW 18.27 RCW AND 298.200 WAC. <br /> Fee�� <br /> X <br /> 0-7S: <br /> i gu:durc �1 <br /> eleupp(11IP/94) <br />