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� <br /> APPLICATION FOR ELECTRICAL PEIL'�fIT <br /> CI'I'Y OF EVERETT <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> EVERETT, WA 98201 <br /> 259-8810 <br /> %''— '� L �=� /� <br /> �o.�l�P.� i�?ir.ii�Gr'�ry_Y,e.T /b= ' //G'-�•H L 1 ���%�u , �nt' y��"�1�J J/ <br /> Owner Mail Address City StatelZip Phone <br /> CvL.�n�3'l,.¢ ,OFif�i�� Y.�iC� �cG.i.ff" /��;c` Riic�iT 4.is? <br /> Tenant Mail Address City State/Zip Phone <br /> /.vi.�r- �Lyc, i3ii .,�j,;,� ,<i��/ �Y .z'�'s',3'.,��,,.r�_ a•�, ld'��.Z7 ?yi-�'�3c� d`3�.�.��xExiyy.i,- <br /> Electrical Cootractor Maii Address City State/Zip Phone State LicenseNo. <br /> . �� IL <br /> ��E'.�` GoGiSi i�lr�/:=.'.�T/ �t�/12=�t.. <br /> Contract Price of Work Proposec! Use of Building <br /> yJ'/O �GG/J� /f�/-� <br /> Project Address <br /> Description of Work to Be Done: /�Q�"v t-')C/Si J�tlG— .{�UC,�v�3 C�P1'�'<:'� � <br /> N"l.L��L'/�Y� i Ti%L- �F'i4T/9L- C-1—/---{//G-i <br /> NOTE:WAC 296•46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL <br /> OR HEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH <br /> JOBS MUST SHOW THE STATE APPROVED PLANS BEFORE CITY OF [VERET PERMIT WILL BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS IMC AND AC, ARE CABLES, I <br /> NOT RACEWAYSI. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOJNTED A MINIMUM <br /> GF 15 INCHES ABOVE THE FLOOR. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIB�E ROUT[5 OF TRAVEL SHALL BE MOUNTGD WITHIN THE REACH �: :w��' <br /> RANGES OF THE 1991 u.B.C. SEC. 3106(b14 AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. _ 't-�"b. <br /> `.;�. <br /> e0.. <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAWIINED THIS APPL�CATION AND KNOW THE SAME TO BE TRUE - =k`= ' <br /> AND CORRECT. ALL PROVISIONS OF IAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE i;.��l:�, ' <br /> COMPLETED WITH WH[THER SP[CIFIED HEREIN OR NOT. THE GRANTING OF A P[RMIT 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 /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY ' <br /> WITH THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X /J % E <br /> �i� <br /> /��.E;��L' ��a�1�.�.Cc ��� iY/v'�/`,� Fee L�%��. y� <br /> � Signature % D�le <br /> r <br /> �} %� _=� 'f deenpp(3/?4l94) <br />