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APPLIC��4TION FOR ELECTRICAL Pp RMIT <br /> arv oF eveAErr <br /> BUILDING DIVISION <br /> 3200 CEDAq STREET <br /> EVEflETT, WA 98201 <br /> 259-8810 <br /> 3 Z � Z �Go��,v�y — �����fr` <br /> PROJECT ADDRESS <br /> S��v ✓�e4�'� � s°t3z �3��IcL: �vQ�e � r,�<99��� �3�-�is�� <br /> Owr1Cf Meil Addreaa C�ty Stete2p Phone <br /> 5,�91�> _ <br /> Tenant Meil Address Gty Stete2p Phane <br />� �S�r��7/�G'r /oZ5-// yti�l sTN� /,�S'�,pH �,�.�9 9a��s P 33�' S�t�o <br />: Electncal Contractor Meil Addrese Ciry Stete2p Phone <br />` c_//z'S�7�L' /Sr �64 '�zO� �— <br /> State License Num6er Contract Price of Work <br /> �� �./ �Y o f�' s s,� � <br /> Prooased Use o( 8uiidinp <br /> Description ot Work to Be Done: �l7S�l � S �G�C i ,/�( ?70� �jCX'PS � <br /> ���� � � e/1�"PR�'0�2 .>/9�/ �d��_��i ivoft��c t <br /> D � L <br /> I <br /> NOTE: PLANS FOfl ELECTRICAI WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES I <br /> MUST BE APPROVED BY THE STATE OF WASHINGTON. APPLICAVTS WITH SUCH JO85 MUST SHOW THE <br /> STATE APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296•46-140. <br /> NOTE: �NIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS. (MC AND AC ARE CABLES, NOT <br /> RACEWAYS. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AN� COMMUNICATIONS SYSTEM RECEPT4CLES ON WALLS <br /> WITHIN ACCESSIBLE SPAC[S OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 57-20 SEC. 3706(c�2. <br /> ENVIRONMENTAL AND OTHER CONTROL 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. 3106(b�4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE F100R. <br /> /HEREBY CERTIFY THAT/HAVE RE4D AND FXAMINED THIS APPL/CATlON ANO KNOW THE SAMf TO BE TRUE AND CORRECT. ALI. <br /> PROV/SIONS OF(�7WS AND ORDINANCES GOVfRNING TN15 TYPE OF WORK W/LL BE COMPLETEO N?IETHER SPEC/FlfD NERFJN OR NOT, <br /> 7Nf GR,4NT/NG OFA PERM/T DOES N07 PRESUME TO C./VEAUlHOR/TY TO V/OL4TE OR CANCEL TNE PROV/S/ONS OFANY OTNER STATE <br /> OR LOCAL LQW REGULqTlN3 CONSTRUCTION OR THE PERFORMANCf OF CONSTRUCT/ON. TNAT 1 AM AUTHORIIED BY THE OWNER OF <br /> THIS PROPER7Y TO PERFORM THE WORK fOR WHlCH APPCICAT/ON lS MADf AND/COMPLY WITH THE STATE CONTRACTORS LAW 18.27 <br /> RCW ANO 296.2U0 WAC. <br /> ��A/J �� / - ZrJ— / FEE � , <br /> Signatum Date <br /> . nm,wnn emsi <br />