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APPLICAIr )N FOR ELECTRICAII- 'ERMIT <br /> cm oF eveRErr <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> EVERET7; WA 8820! <br /> (425) 257-8810 r <br /> �3 0 ��u�� �� _ <br /> PROJECT ADDRESS /� � I <br /> {1�,� /�I� �:^ S6`1 (N/f �j'�/07 <br /> ov�,,,�—T-7 M,q nam... cpy sm.rzq Pxa» — <br /> �//3 � �!'a.�nkJ /-ftl�_ �/1 U� ��) -� T.UL� 7��' - D�31i <br /> Tenant M�p Addnss Clty Suld�p PMru <br /> �i i�i'i' i.v.��=� 7�i7� N E �7.7 �30n'/�l (N/� ��� �i'c3�i�'ZOF(U <br /> L�/Fcn¢!� /•J�-- <br /> Eladrical ConVaetor A4A Addmss Cqy StatdZlp Fha+� <br /> ��/FOi s r 2Qi�,t / <br /> State Ueense Number . Contreet Price of Work <br /> G �' � <br /> Pr�pased Use of Building <br /> �� A <br /> Descrlption ot Wark to Be Done: �j(�j� ��-c-cJ �iN��---�—�' � 'r c'!/Z—�c-� <br /> (�/�lJc�/f S-grt(/r c�� _ <br /> NO'iE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> MUST BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS hiUST SHOW THE <br /> STATE APPROVED PL'+Ny BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-48-140. <br /> NOTE: WIRING IN NON-OWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> WITHIIN A CESSIBLE SPACES OR ALONG AC ESS BLE ROUTEIS OTF�TRAVEL SHALRBE MOUN ED A MINIMUM <br /> OF 15 INCHES ABOVE THF FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> RANGES OF WAC SE 20 SEC SN 6(b)4 E 6 F AND NOT LESS THAN 36 N HES ABOVE THE FL/OORN THE REACH <br /> 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICAl10N AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER S'�ECIFIED HEREIN OR NOT <br /> THE GRANTING OF A PERMIT DOES NOT PRESUME TO GNE AUTHORITY T7 VIOUTE OR CANCEI TNE PROVISIONS OF ANY OTHER STATE <br /> OR LOCAL LAW REGUL4TING CONSTRC'CTION OR iHE PERFORMANCE OF CONSTRUCTlON. iHAT 1 AM AUiHORlZEO BY THE OWNER OF <br /> TH15 PROPERTY TO PERFORM THE WORH POR WHICH APPLICATlON IS MADE AND I COMPLY WITH THE STATE CONTRACTORS U1W 7E.P7 <br /> RCW ANU 196.200 WAC. <br /> � _Z _ cf 0 FEE � <br /> ` Signature Dale � <br /> �����9 <br /> neun�n ian <br />