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APPLICAT��N FOR ELECTRICAL ', cRMIT <br /> C/TY OF EVERETT <br /> BU/LD/NG D/V/S/ON <br /> 3200 CEDAR STREET <br /> EVERETT, WA 98201 <br /> (425)257-8210 <br /> �� � 3 G��2�� w�;--Y' <br /> PROJECT A DRESS <br /> �!�►M�1 l� �ve �e-rr— <br /> Owner Mail Address City Sbte/IJp Phone <br /> />�k�-- 4� � s r�¢,� �� P o ia�a-� ��ao[0 3c�v �s i - a ��a-- <br /> Tenant \ /� MalAddress � C�Yy ShtrJZip Pnone <br /> i.lV1-�l � / \-OwN('C %i✓" 5 /,�-GQG7�1G rDUxK �Z77 Gal[eST"e��Ns � /rCS� <br /> Ele��trical Cont�actor Mail Address City Stat�Zip Phone <br /> _(�k�4� rcPro� � Z �' �z7�v — 7oc-��9-ozu,a <br /> State License Numocr . Contract Price of Wark <br /> (' �� <br /> Proposed Use of Building <br /> Description of Work ta Be Done: W 1� e /`�u� 'P <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 29G-46-140. ' <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO 2� IiV RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> 1h'ITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM � <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 57-20 SEC. 3106(c)2. � <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPER,46LE EQUIPMENT WITHIN � <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL Si-IALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E & F AND NOT LESS T4AN 36 INCHES ABOVE THE FLOOR. <br /> I HEREBY CERTfFY THAT I HAVE READ AND FXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECL ALL I <br />� PROVISIONS OF i�1 WS AND OROINANCES GOVERNING THIS TYPE OF INOHK WlLL BE COh1PLETED LVHETHER SPECIFIED NEREIN OR NOT, <br />� THE GR4NTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTNORITY TO VIOLAiE OR CANCEL THE PROVlSIONS OF ANY OTNER STATE <br /> OR LOCAL L4W REGULAT/NG CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT!AM AUTHOR2ED BY THE OWNER OF <br /> THIS PROPERTY TO PERFORM THE WORK fOR WHICH APPULA710N IS MADE AND I COMPLY WliH THE STATE CONTRACTORS!JI W 18.17 <br /> RCW AND 296.200 WAC, <br /> � / � �� FEE i <br /> .� �• � � <br /> � <br /> SignaWre Date � <br /> .���g � <br /> J � / EIEb�M�fV tM)1 � <br /> I <br />