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APPL�ATION FOR ELE :TRICAL �RMIT <br /> , CITY OF EVERETT <br /> BUILOING DIVISION <br /> 3200 CEDAR STREET <br /> EVERETf,WA 98201 <br /> ���- cu.d.,, �ad ��t 259•88i0 <br /> PROJECT ADDRESS <br /> CcXTK�h�e. RussP,l� �o�►� —i�6 s►—sr �,�.,�,�fa i�lA 93ads' 39�-�ag <br /> OwnEf Meil Address CIry State2p Phons <br /> Tenant Meil Addree� City Stute2p Phone <br /> ��kk�� ��'�' Pc� l°� (043$ Ly.�,+NWad.'� ►uA 98o3�O 776•385�' <br /> Electrical Contrector Meil Addres� C(ry Snce2p Phone ��� <br /> T�ZIL Il�l I�10�J� �'�,7s<�'� <br /> State License Number Contract Price of Wark <br /> SFk <br /> Propased Use ot Buildinp <br /> Description of Work to Be Done: l.[x�✓T�u'^ �� ��'`� ��� � � ��rC� _ <br /> NOTE: PLANS FOR ELECTFiICAL WORK AT EDUCATIONAI_, 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, NO'' <br /> RACEWAYS. <br /> HANDICAPPED ACCESSIBILITf: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51•20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERl18LE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 31061b14 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> l HfRfBY CERTIfY THAT l HAVE READ AND IXAM//JEO TH/S APPLlCAJ/ON ANO KNOW THE SAMf TO BE TRUE ANO CORRE�T. ACI. <br /> PROVISIONS OF!�7 WS AND OROINANCES ,OVERNING THIS TYPE OF WORK WILL Bf COMPLETED WHETHER SPECIFIED HERE/N OR NOT, <br /> THf C.RANTING OFA PEAMIT DOES NOT PRESUME TO GIVf AUTHORI7Y TO VIOUJTE OR CANCEL THE PROV/SIONS OFANY 07HER STA�.E <br /> OR LOCAL LAW RfGUL4TlNG CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCT/ON. THAT l AM AllTHOR2fD BY TNE OWNER !1F <br /> THfS PROPERTY TO PERfORM THE WORK FOR WH1CH APPLICATfON lS MADE AN�!COMPLY WIT+I THE STATE CONTRAC70RS L7W 78.27 � <br /> RCW ANO 296.200 WAC. <br /> /� N.i- �J/I� ( FEE d��� <br /> Sipneture Date � <br /> . nm�ne�vwei <br />