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APPL� 4TION FOR ELECTRICAL F gMIT <br /> CITV OF EVERETT <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET � <br /> EVERETT,WA 98201 259-8810 <br /> �(a2N Cvc�,�3--1 ��� — 4 � ;- �y� - 16�y <br /> PROJECT ADDRESS ('+ <br /> ) �'vL� i <br /> T� -� � O�N cA� .2 i 1 a d� 4 �1�� A,n. � � �„�,,�., �✓A <br /> Owner <br /> Meil Addresa City Stete(Lp Phone <br /> Steterp Phone <br /> Tenant Meil Addresa ��ry �l?i'- Z S" L-�}'S a- <br /> � <br /> J..J J.J (J i-JM G�z..,�Y�-�L /� `� 3a (o il-1 A�/�= �.J [ d�i�iu.aJD� UA _ <br /> Electrical Contractor Meil Addrece City <br /> Stete2p Phone <br /> WJ�� ��h � �Zl V �' <br /> State License Number Contract Price of Work <br /> Sra <br /> Proposed Use of Building <br /> Description o(Work to Be Done: <br /> TiV ) ,-/a�.a. / 2 S �1 r-✓� S �Jl✓i �,<. . <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> MUST BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITN SUCH JOBS MUST SHOW 7HF. <br /> STATE APPROVED PLANS B[FORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 29ti-46-140. <br /> NOTE: WIRING IN NON-DWELLINGS IS R[QUIRED TO BE IN RACEVJAYS. (MC AND AC AR[ CABLES, NOT <br /> RACEWAYS. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL :+�J� COM!JIUNICATIONS SYSTEM RECEPTACLES ON `NALLS <br /> 1NITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE RUUTES OF TRAVEL SHALL P.E MOUNTED A MIIJIMUM <br /> OF 15 INCHES Af30VE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> [NVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EdUIPMENT WITHIN <br /> RANGF.SI OF WAC 515 0 SEC03 061b14EE &BF AND NOT LOESS THAN 36 INCHES A OVETTHE F OOR THE REAC4 I <br /> I HEREBY CERTlFY THAT I HAVE READ AND DCAMINEO 77i1S APPLICATION AND KNOW THE SAMF TO 8E TRUE AND CORRECT. ALL <br /> PROV/S/ONS OF LAWS AND OR017!4N:fS C'iOVGRNINC� TH/S 7YPE OF WORK WILC BE COMPLETED WHETNFR SPEGr1E0 HFlfE1N CR NOT, <br /> THf GRANT/NG OFA PER.t1/7 DGES NO I'PRESUd;E TO v1Vf AU�fOR17Y TO VIOLATE OR CANCEL THE PROV/S10NS Oh ANY OTH£R SiATE <br /> OR LOCAL Ul IV REGULATING CONSTRUCTIDN OH THE PLRf-0R�'NANCE OF CJNSTRUCTION. THAT l AM AU7/IOR/7ED BY THE OW,ti'ER OF <br /> TH1S PftOPERTY TO PERFORM 7NE WORK FOR LVh'ICH AFPLlCA7/ON 15 MADEANb!COMPLY W1TH THE STATf CON7WICTOAS LAW 18.27 <br /> RCW AND 236.200 AC. <br /> � �� a 0 <br /> � L� FEE <br /> Signstu� �ote <br /> _ �a�.Ul - !/�{ <br /> . t¢crmcvervn <br /> / <br />