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APPL�ATION FOR ELECTRICAL -`RMIT <br /> CITY OF EVERETT <br /> BUILDING DIVISION <br /> 3200 CEDAR STREEf <br /> EVERETT, Wq 98201 <br /> �Pc Q �10 l � L / �03 0 /3 roaq'w.9./ ��y 259-8810 <br /> rHo�ErTADDRESS --� /i �4�-��� j w99�ao/ <br /> —vf� , S�E Na �a3D /�r n�i���'w1 �I/�2�-► i ��� �� a �6� �s9 3�si <br /> Owne� Me I Address <br /> �'h' stete2p '— <br /> ^ 1 �,M^A ' Phone <br /> r�w-��r�y <br /> Tenant Meii Addrass <br /> C�ry Stata/Tp <br /> Phone <br /> �� ol `]�o - �b i� s�" I�iRKLA�I�, � qk�3� a�S��-2�- i�q. <br /> Eledtncal Contrac r Me�t nddross � <br /> ��h' Steta2p ' � <br /> C ��/,p Phone <br /> State icense Numher D — '/ Z15�� ' <br /> '' nn �_ /� �� � Contract Price of Work <br /> Mn I o K,�,,� n x_�% � (���J� <br /> Proposed Use of Budding �� "" ' "�'�� <br /> Description of Work to Be Done: - �n� <br /> � I � r X <br /> � - , <br /> � • i i <br /> , � <br /> � � � �a..e � �� <br /> . <br /> .� � � <br /> NCTE: PLANS FOR E�ECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITI[S <br /> MUST BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE <br /> STATE APPROVED PLANS BEFORE CITY OF EVERET7' PERMIT WILL BE ISSUED. WAC 296-46-140. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS. (MC AND AC ARE CABIES, NOT <br /> RACEWAYS. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON �NALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-2p SEC. 3106�c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIB�E 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 /> l HEREBY CERTIFy THAT l HAVE READ ANO EXqM/NED TH/S APpL/CAT/ON AND XNOW THE SAME TO BE 7RUE AND CORRECT. ALL <br /> PROV/SIONS OF LqWS AND OROINANCES GOVERN/NG THIS TypE O,�WORK W/LL BE COMPLETED WHE7HER SPEGf/ED HERFJN OR NOT <br /> 7Hf GRAN7ING OFq pERMIT DOfS NOT PRESUME TO GIVEAUTHORlTY TO VIULATf OR CANCEL THE PROV/S/ONS OFAh'Y OTHER STATf <br /> OR COCAL LAW R£GULATING CONSTRUCTION OR TH£PERfORMANCE OF CONSTRUC7lON, 7HAT l AM AU7HORlZED BY THf OWNER Of <br /> 7HIS PROPERTY TO PERFORM THE WORK FOR WHICH AP!':ICAT/ON IS MADEAND/COMPLY W/TH THE STATf CON7R4CTORS LAW 18.27 <br /> RCIVAND 296.200 WAf:, <br /> i <br /> �-- � i-�-, �,' 102.- 0�2�� �� 3 ozr <br /> sipnacura FEE <br /> Date <br /> t-�V�1� �3l��y �u�MA�.,os� <br />