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APPLICATiN FOR ELECTRICAL�ERMIT <br /> C/TY OF EVERETT <br /> BUILDING DIVISION <br /> 3200 CEDAR S7REET <br /> �/ERETT, WA 98201 <br /> (425) 257-8810 <br /> �__d�irf.Q �v� • . <br /> PROJECT ADDRE39�.�ti��� C�/ <br /> ., a.,�oa ,�,���r �� �f�e=,-T Gdi4, �'i��/ �a -5 3 <br /> owner _ _ <br /> MaU AEdr�s� Clty StsbJJP PMrw ~ <br /> �,� w�����y aat� d�+�F.� r� f,F�F�-T ��,� �h i �a � ��3 <br /> Tenent AAap Addresa City Slate/Z1P Phon� <br /> C�'PCf Y fC�ci /9c�,� v.rREa�o'.a /1�f ��£�"rT .y� -�r b�d/ �o Si3 y3 <br /> Electrical Contrector Mal Address Cdy State2lp p� <br /> Ga���� �o ��T.� 3,a��, , �, <br /> State Lmensa Numbar . Contract Pnce uf Work <br /> G�'9�/ l:4cf'r <br /> Proposed Use of Building <br /> Description of Work to Be Done: ��;,7y« �� � �J� ����j��G S' ��� �"'��/(�u� <br /> r�T .C-7�/'/".lNG T�vs;zf�c 6f� .1�,.-.r Sv.4 �.4,v�c /�ic�.'.¢,�C /f'.�.�/v <br /> �f��x��,-F f/vife � l.�.sme �As✓ .�P,i7.Pv�iP /�fAsutes ��f�rr.�e t�S <br /> NOTE: PLANS FOR ELECTRICAL W�RK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> MUST BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE <br /> STATE APPROVED PLANS BEFORE CITI OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABIE. <br /> HANDICAPPED ACCESSIBI�ITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR A�ONG ACCESSIBLE ROUTES OF TR,4VEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT 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 & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED TH1S APPLICATION AND KNOW THE SAME TO BE iRUE AND CORRECi. ALL <br /> PROVIS/ONS OF LAWS AND ORDIYANCES GOVERN/NG THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIF/ED HEREIN OR NOi, <br /> THE CRANTlNG OF A PERMIi DOES NOT PRESUME TO GIVE AUTHORITY TO VIOL4TE OR CANCEL THE PROV15/ONS OF ANY OTHER STATE <br /> OR LOCAL LAW RECULATING CONSTRUCTION OR THE PERFORMANCE OF CONSrRUCTION. THAT I AM AUTHOFIZED BY THE OWNER OF <br /> THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I LOMPLY W1TH THE STATE LONTRACTORS(.AW 1l.17 <br /> RCW AND 296.200 WAC. <br /> "l i <br /> � �. <br /> � <br /> � %,� fv �- _ -�� - y'� FEE //3 °� <br /> Signature — Date <br /> [LLGIIII[VIOII) <br />