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APPLICATION FOR ELECTRICAL PERMIT <br /> r � <br /> CITY OF EVERETT � <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> EVERETT, WA 98207 <br /> (425J 257-8810 <br /> /��- },�Or����., �yene{�� tc)�4 <br /> PROJECT ADDRESS <br /> ` :�1��� QE'�-�'.C���'Cvl �,�oC�a `Z�<'OQ�V��GJJ `�v'ej�� <br /> OWnef Mail Address City State2ip �� Phone <br /> �{1p 11 —�la.,� �-�,�� I (pOz_ �Qt��tir(l.v S�J�o�v-�1�1L1�- <br /> l Tenant Mail Aadress Cily StatelZip Phone <br /> ��Ie �� , �VX 17�9y�1�ll� �,t'�r,��uJf� ��'IkPL � ��357-U��D <br /> /�1�L�7L'� �I�L7�C/C �nC. �� <br /> Electrical Contrac�or Mail Address City Slate2ip Phone <br /> �/�6 L�E.�OS�l33 6 J'�U <br /> State License Numbe� Conlract Price of Work <br /> Proposed Use af Building <br /> Description of Work to Be Done: '� l��(L[� �� � f- �GY C��vq���,, ��r/()�Gr7(/�, <br /> NOTE: PLANS FOR ELECTRICAL WORK 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 CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. <br /> NOTE: WIRING IN NON-DWELLINGS 1S REQUIRED TO BE IN RACEWAYS. (MC AND AC ARE CABLES, NOT <br /> RACEWAYS. <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(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES �ND 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 71EREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO 8E TRUE AND CORREC7'. ALL <br /> PROVISfONS OF LA WS AND ORDINANCES GOVERNING TNlS TYPf OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR NOT, <br /> THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUfHORITY TO VIOLATE OR CANCEL THE PROVlSIONS OF ANY OTHER STATE <br /> OR LOCAL LAW REGULATlNC> CONSTRUCTION OR TNE PERFORMANCE OF CONSTRUCTION. TNAT I AM AUTHOR2E0 8Y THE OWNER OF <br /> THIS PROPERTY TO PERFORM THE WORK FOR lh'HlCH APPLICATION IS MADE AND 1 COMPLY WITN THE STATE CONTRACTORS LAW 78.27 <br /> RCW AND 296.200 WAC. <br /> L�l� /x�� `�,of'- FEE `� <br /> '2 CG f?G � �`) <br /> � Signature � Date <br /> ElECMI�LV i6t>I <br />