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APPLICATION FOR ELECTRICAL PF,RMIT <br />CITV OF EVERETT <br />BUILDING DIVISION <br />3200 CEDAR STREET <br />EVEHETT, WA 98201 <br />ADDRESS <br />/^/� <br />��a <br />i <br />2.S"5 -0/// <br />��l'PiS'%�r�'�/s 1>./.G'�b/.1'�,dv/y %/OiV ��c<1rs,.a.� fc-'tirfi" G/a. �6,��/ <br />Ownef Meil Addrass Cfty �� Stete2p Phona <br />�9�"c"f.>Si,iY��S /�/O/�/ /�r'oa -�tria..i �✓fic�%%- l.%c J•�v�r�� � �ri-P��� <br />T0n0nt Meil Addrasa City State2p Phona <br />�iu�r-�•orx / �Pc�ri� T � <br />Electrical Contractor Meil Address <br />P,�co r`.Ei=xo7� .E�� <br />State Lic>.nse Number <br />�P��'� � <br />Proposed Use of Buildinp <br />Ciry <br />St�te2p <br />�5.�00 � <br />Contract Price of Work <br />Description of Work to Be Done:_ /yPc� ��Ov � .3 P� _�'U✓ c C 7v /Pp �cP <br />�[�io0 I( ✓FIl�Fr� 7`Cc-D Cc P.v� n� Gi.ol S r � G k <br />�P� C�i✓'c�-�/�J <br />Phone <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 296-46-140. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS. (MC AND AC ARE CABLES, NOT <br />RACEWAYS. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON �YALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />OF 15 INCliES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br />ENVIpONMENTAL 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 FLOOR. <br />l HEREBY CERTlFY THA7 / HAVE RFAO ANO IXAMINED THIS APPL/CATION ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF L4WS AND OROINANCES GOVERNING THIS TYPE OF WORK WlLL BE COMPLETED WHETHER SPfC/F1fD HfRFJN OR NOT, <br />TNE �RANTING OFA PERM/T DOES NOT PRESUME TO GIVf AUTNORITY TO V/OLQTE OR CANCEL TNE PROVISlONS OFANY OTHER STATE <br />OR LOCAL W W l;fGULATING CONSTRUCT/ON OR THE PfRf-0RMANCE OF CONSTRUCTION. THAT / AM AUTNORIZED BY THE OWNER Of <br />THlS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATlON lS MADEANO / COMPLY WITH THE STATE CONTRQCTORS L4W f 8.27 <br />RCW AND 296. Z00 WAC. <br />� <br />�ipnature <br />:aa - <br />Date <br />� <br />j 'xj ��J <br />FEE I���� <br />cuc'nncv env <br />