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APPLICATION FOR ELECTRICAL P�RMIT <br /> C1TY OF EVERETT <br /> BLIILDING DIVISION • <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 259-8810 <br /> ,�j�1 AN J� �L� i4U2s �✓G /�yfl,�., !39��fE�,c; wq yl���— �f�� <br /> Owner Meil Addresa City 51s1e/Zip Phone > <br /> �}ylitRl� l��fOb�/�S �o� c�o��� s� . �2E7i ��✓a. �Il2�r <br /> Tenent Mail Address City Stete/Zip Phane <br /> /�N�L 4R i� 5 �CE��l1IL f�Zv l�'� An�AC//'.f�°5 1�/rl, �2���i 3-�'zy3' #A,✓AcoG--o�YN° <br /> 'EI trical Contrector Meil Address Cit��e�e/ � Phone State LicenxNo. <br /> �. S � <br /> Contract Price of Wo�k n5�� � Proposed Use of Bm ' "�i <br /> v� <br /> �A�i+'.'/�_ ' � �.o��i� � <br /> Projxt AJJress • <br /> Description of`�Vork to Be Done: � 7l� �C�v(C � �` "`�J n <br /> °,. <br /> % � <br /> ��.�.s�----..�� <br /> NOTE:WAC 296-46-140 RE�UIRES THAT PLANS FOR ELECTRICAL WURK AT EDUCATIONAL, INSTITUTIONAL <br /> OR NEALTH CARF FAGLITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTf'i WITH SUCH <br /> JOBS MUST SHUW THE STATE APPROVED PLANS BEFORE CITY OF EVENET PERMIT WILL BE ISSVED. <br /> NOTE:WIRINO IN NON•DW[LLINGS IS RE�UIRED TO BE IN METALLIC HACEWAYS (MC ANO AC, ARE CAHLES, <br /> NOT RACEVI(AYS). <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON bVALLS <br /> WITH�N ACCESSIBLE SPACES OR AhONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MIiJI?�UM <br /> OF 16 INCHES ABOVE THE FLOOR, <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPEPABLE E�UIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE FOUTES OF TRAVEL SHALL BE MOUNTE� WITHIN THE REACH <br /> RANGES OF THE 1991 U.B.C. SEC. 31061b14 AND N(1T LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAM�NED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br /> COMPLETED WITH WHETHER SPECIfIED HEREIN OR NOT. THE GRANTING OF A PEFMIT DOES NOT PRESUMF <br /> TO GIVE AUTHORITY TO VIOLATE OR CANCEL 'HE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW . <br /> REGULATING CONSTRUCTION OR THE PERFORMANCC OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE - <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY <br /> WITH THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X - / ' — �-3-� _ F� s.vo <br /> ignature Dnte <br /> •-, <br /> �� /� �� <br /> C'�P�• - .i«ervPnaivq <br />