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APPLIC� 'ION FOR �LECTRIC� PERMIT <br /> CITY OF EVERETT � _ a �. "C� <br /> BUILDING OIVISION / <br /> EVERCE7'TAWAT 820f � �D���� <br /> (425) 257-8810 <br /> , j <br /> � L �i ' . 1 � � �) ('(1L� <br /> PROJECT ADDRESS <br /> / <br /> �-, ,. �'�I�� !1; � ,��� r , - �;,�• J 'I '/'%lh 1��� � /�l /� �' ,� c;/�lc � `i-��l/! d� c- %�.7�i-,1i;�� <br /> Owner Ma�i naaresa cuy State2ip P��� <br /> Tenant Mad aadress ciry sta�e2ip �'ha^e <br /> I Ji ,f�� I �- I i y�/ �-� i � C ' �ll� X �� / t/J7 ) )��y�'�'k�� �l� L�',��. �.' �i /�/ �J ���i� <br /> Electrical Contractor Mail Address Ci� State(Lip P��e <br /> l ) I �" l• l�l' �l� l ��? � lF' �i (- C� �, C ' r�G, <br /> Stale License Number Contract Pnce of Work <br /> �:� �� /r-i' 1 � 'I /l( ��/.)/� <br /> Pro�osed Use of Bwlding ' ' <br /> � ) 1 � <br /> Descnption o1 Work !o Be Done. 1�� �v� ) ( � �' �! �� � %/ �� �t �_ � � � r i �C �� � <br /> li � �� ) � l� / ) f��� � �l/c - �� �- / 'l�`� 1� � �� � 7 ) )� ' J�C-' <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> MUST BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS �VITH SUCH JOBS MUST SHOW THE <br /> STATE APPROVED PIANS BEFORE CITY OF EVERETT PERMIT W�LL BE ISSUED. WAC 296-46-140. <br /> NOTE: WIRING IN NON•DV'.'ELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51•20 SEC. 3106(�)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE E�UIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E 8 F AND NOT !.ESS THAN 36 IhCHES ABOVE THE FLOOR. <br /> I HERE9Y CERrIFY TNAT I HAVE READ AND EXAhI1NED 7HIS APPLIC•7TION ANO KNOW THE SAME TO �E iFUE AND COFRECI ALL <br /> PROVISIONS OF LA WS ANO ORCiNANCES GOVERN�NG iHIS TYPE OF WORK WILL BE COMPLE7E0 WMETHER SPECIFlED MEREIN OR NOI, <br /> lhE GRAN7ING OF A FER,VI r COES NOi PRESUME TO G/VE AUTh^QiTY 70 VIOLA75 OR CANCEC 7HE PROVISiONS OF ANY OiHER STATE <br /> TH�PROPERTY�OGPE-RFORM T�NE WORH FOR WMICH APPLI�CAl10N 5 MADE ANOR COMPL Y W/TH/IHE STAiE CONTRACTORS LA W R9 77 <br /> fiCW AND 756 200 WAC. <br /> � � � � <br /> / � � / FEE <br /> � �� <br /> � /a 1� .� _�� L ` � <br /> . � � �.�. . <br /> S�gnaWie � Da�e <br /> � (l.c � i \`\ � <br /> !t[C/JI�C/�MII <br />