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APPLICAT� `N FOR�ELECTRICAL � �RMIT <br /> GTY OF EVEF!ETT <br /> BUILDING DIVIS/ON <br /> 3200 CEDAR STREET <br /> EVERETT, Wi�� 9820! <br /> (425J 257-8810 <br /> ,r ( � �v6��U/ <br /> PR JECT AODRESS <br /> �/h•J %�-19'l,��✓ 57�i�• -e- �'✓ w�✓ �'I�Zo/ �S� '�!_�s�S <br /> �er Mai�Aaa«s Cny Sh�e2ip PAa,e <br /> �I�� ��/�,(�!1 �LJ1� <br /> Tenant Mail Address City StaVlZip PAone <br /> IC % - 2 <br /> Electrical Contrador Mail Aedress Ciry �[. StatrlZip Phone <br /> iu��� s s G�i S3nu `�mt�a <br /> State License Number Contract Price of Work <br /> �/I�(/ ��IJ !-9q J �''ei ' <br /> Frcposed Use of Building <br /> Description af Work to Be Dane: /�/�w p� (� /�' S-�`�J� �Q <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 PL4NS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN R,4CEWAYS, 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. V�/AC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROI 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. 310�(u)4 E 8 F AND NOT LESS THAN 36 INCHES ABOVE THE FLOQR. <br /> I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPUCA710N AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL <br /> PROV1510NS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WlLL BE COMPLETED WHETHER SPEClF/ED HERE/N OR NOT, <br /> THE GRANTING OF A PERMl7 DOES NOT PRESUME TO GIVE AUTHORITY 70 VIOLATE OR C4NLEL THE PROVISIONS OF ANY OTHER STATE <br /> OR LOLAL LAW REGUUITING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUC710N. THAT 1 AM AUTHORIZED BY THE OWNER OF <br /> THIS PROPEATY TO PERFORM THE WORK FOR WHICH APPUCATIONlS MADE AND 1 COMPLY WITH THE STATE CONTRACTORS U1W !8.21 <br /> RCW AND 296.200 WAC, <br /> �=�I �-� FEE � � ap <br /> �1\ 1�s��b <br /> Signature Date <br /> [l[CM�M10111 <br />