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APPLI��TION FOR ELECTRICAL PFRMIT <br /> � I <br /> QTv uF EV[RETT I <br /> BUILDING DIVISION I <br /> 3200 CEDAfl STREEf I <br /> EVERETT, WA 98201 � <br /> 259-8810 � <br /> � <br /> ZYo� ��t�aUurus. �.����-� <br /> PROJECT ADDRESS � <br /> C��Y�/t I"//c K//t�Jl <br /> Owner � Meil Addreaa City Stste2p Phon� <br /> � y�src'2 /�2/ <br /> 6/0� (b/D �'Y�,.'�r,� ciL 1(e/L •LLc��unf �✓✓� �1.�'.l'C.>�/ /iJ,4 f,!',/d <br /> Tenant Meil Ad ss Ciry Slete2p Phona <br /> T�1,�ivl'its li�r ��x /�l! 6�a�r�f�!!� � Y�rtz /F� �s-o ycel- <br /> Eiectrical Contrac� Mail Addresa Ciry 5�■ce2p Phona <br /> ✓� <br /> ,��,�yf's:v{�c � <br /> State License Number Contract Price of Work <br /> S/S� <br /> Praposed Use of Building / <br /> Description of Work to F3e Done: ��,�,��j'"`�� f0 �f��„'�'`t � 2 U ��� <br /> �s��i� r�; � �`� �11 «.b���s i 3�� — L 3�Y <br /> �/ f : <br /> � Yl t� �a�t /�'ls��.rr n�nR� O�(� C/G� �'IOK79Q�P l <br /> 3kv fa G'� �,c,.�e, oar� — <br /> NOTE: PLr1NS FOR [LECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> MUST BE APPROVED BY THE STATE OF WASIiINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE <br /> STATE APPROVED PLANS BEFORE CITY OF EVEfiETT PERMIT WILL BE ISSUED. WAC 296-46-140. <br /> NOTE: WIF'ING IN NON-DWELLINGS IS REQUIFiED TO BE IN RACEWAYS. IMC AND AC ARE CABLES, NOT <br /> RACEWAYS. <br /> HANOICAPPED ACCESSIBILITY: ELECTRICAL AND COMIMU�'ICATIJNS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTE� Or TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIf90NMENTAI AND OTHER CONTROL RECEfTACLF,S ANG GTHER OPERABLE EQUIPMENT WITHIN � <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROU7' S UF -�PAVEL SI IAL!. OE MOUNTED WITHIN THE REACH � <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E & F AND IVOT' LESS 1HAN 36 INCHES ABOVE THE FLOOR. <br /> _ i <br /> /HfREBY CERTIFY THAT / NAVE REAO AND IXAMINED THIS APPGlCATlOA' ANO KNOW THf SAME TO BF. TFUE AND CORRECT. ALl � <br /> PROVISlONS OF LAWS ANO ORO/NANCfS GOVERNING 7H/S TYPf_ OF W0.4K W1LL HE COMPLETfD WNETHER SPECIfIED HEREIN OR NOT, � <br /> TNE GRANTING CFA PfRM/7 DOES NOT PRESUME TO G/Vf AUTHOR/7Y TO V/OLATE OR CANCEL THE FROV/SIONS OFANY OTHER STATE <br /> OR LOCAL LAW R£GUL4T/NG CONSTRUCTlON OR 7NE PERfORMANCE OF CONSTRUCTION. THAT!AM AUTHORIZED BY THE OWNfR Of <br /> iHIS PROPERTY TO PERFORM THF WCRK FOR WHICh'APPCICATlON IS MADEAND!COMPLY WITH THE STATE CONTRACTORS LAW 1 B•77 <br /> RCINAND 296,100 WAC. <br /> _�`��3�� �' 'c'�q � `�✓` g� FEE <br /> Sipnaturo Date <br /> . �ut�necv�rva <br /> 1 <br />