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APPLICATI . N FOR ELECTRICAL � cRMIT <br /> C/TY OF EVERETT <br /> BUILD/NG OIVISlON <br /> 3200 CEOAR STREEr <br /> EVERE7T, WA 9H2O1 <br /> (425J 257.8810 <br /> _ ��� �7l � 1�/1c' !' lc/�'//l� �' 7 <br /> PROJECT ADDRESS <br /> PD B <br /> ���Q�'m�,m"��i���i��1�mo ;G�,<<.o vx �70����Oo /� �-9 �/2� 3�� <br /> ONnef Mad�dress / CM StatelLlP Phone <br /> Tenant Mad Addrna <br /> / �'�Y StatelLip Phane <br /> �Y i ��Ol rn� l'� � �x �;��� �i�//9,� /���} 9�� �'�/a? 795� <br /> ieccncai c,ont�actar MeA Address <br /> C�N SlatelLP Phone <br /> �'F / ' S�5�0 Q� <br /> State License hu�� �� - �"' �n�� <br /> • Cantract Price of Work <br /> "I_iJ 7ZJ l J/�: �'�)l" <br /> Proposed Use o(Building <br /> Descnptian of Work t e�ane: ���� � ti � � ) I � 7, � <br /> 7 � <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> MUST BE APPROVED BY THE STATE OF WAuHINGTON. 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 OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL .4ND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE RCUTES OF TRAVEL SHALL BE MOUNTED A MINIIAUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c):?. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF 'fR.4VEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E 8 F AND NOT LESS ',-HAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREBY CERTIFY THA7 I HAVE REAO AND EXAMINED THIS .iPPUCALON AND KNOW THE SAME TO 8E TRUE AND CORRECi. ALL <br /> PROVISIONS OF L4 WS AND OROINANCES GOVERNiNG 7HIS rYPE OF WCRK W1LL BE COMPLETED WHETNER SPEClf/ED NERE/N OR NOT, <br /> THE GRANT/NG OF A pERMl7 DOES NOT PRESUME r0 GIVE AUrHORITY�0 VIOL7 TE OR CANCEC THE PROVISIONS OF ANY OTHEA STATE <br /> OR LOCAL LiW REGUUTING CONSTRUCTION OR 7HE PERFORMANCE VF CONSTAUCi ION. 7HAT I AM AUTHORIZE9 BY THE O WNER OF <br /> TNIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICAT/ON IS NAOE AND I COMPCY WITH THE STA7E CONTRAC70RS LAW 78.27 <br /> RCWAND 296.200 WAC. <br /> _ ��...Jl�/�L/L�.S / /� �9�I D FEE ���� <br /> Signature Oate 4�� <br /> [t[[NIII[V�plll <br /> l <br />