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APPLICATf N FOR ELECTRICAL �=RMIT <br /> C/TY OF EVERETT <br /> 9UfLDING DIVlS10N <br /> 3200 CEDAR STREEr <br /> EVERETi; WA 98201 <br /> (425J 257-88f0 • ' <br /> '�7�'-� Pc��W M� n�� .. <br /> PROJECT ADDRESS (� <br /> �,��� 4�-i-�.J��-S��� Y•�. �'�o�k �'ruz E1i�,�`1� L��� ���.G l. ���z��4��- �`� <br /> Owner ^ MsYAddress CAy Stu�Zp Plww <br /> � <br /> �� �}�9— � <br /> Tenant , MaAAddrcss CAy SWtelLp Phone <br /> \ �����—\ <br /> ElectricalContrado� MalAddress Cty State/Z,p Phme <br /> —��y �c�<, CFit��C� � Ie � Si��LtIz1 �K `1� �1��2�� � �� <br /> State License Number . Contract Price of Work <br /> '� �'• �. <br /> Praposed Use of Building <br /> Description of Work to Be Done: � -' '� �� � � <br /> piv-i /'0 ' �OJ-i <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 8E ISSUED. WAC 296-46-140. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLEu ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES GF TRAVEL SHALL BE MOUNTEU A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WIThiIN <br /> RANGES OF WAC SE 20 SEC.SN 6(b)4 E& F AND N T LESS THAN 36 NCHES A O�E THE F,LOORN THE REACH <br /> f HEREBY CERTIFY TNAT! HAVE READ AND EXAMINED 7H/5 APPUCATION AND KNO W THE SAME TO 8E TRUE AND CORRECT. AI1 <br /> PROVISIONS OF L4 WS AND ORDINANCES GOVERNING THIS TYPE OF WORK W1LL BE COMPLETED WHE7HER SPEClFIED HEREIN OR NOT, <br /> THE GRANTING OF A PERMIT DOES NOT PRESUME TO GNE AUTHORITY TO VIOLAiE OR CANCEL THE PROVISIONS OF ANY OTHER STATE <br /> OR LOCAL U1W REGULATING CONSTRUCTION OR THE PERFORMANCE OF LONSTRUCTION. THAT l AM AUiHORIZED BY THE OWNER Of <br /> THIS PROPERN TO PERFORM THE WORK FOR WHICH APPIJCATION IS MADE AND 1 COMPLY WITH THE STATE CONTRAC7�JRS L4W ld.27 <br /> RCWAND 296.200 WAC. I <br /> ` --� -�, � I �j� FEE �� <br /> , <br /> � <br /> Signature Date <br /> � <br /> '��,5`�b <br /> R[WI�lv tm)1 <br />