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APPLICAT �N FOR ELECT�ZICAL' _ ERMIT <br /> CITY OF EVERETT <br /> BUILDING DIVlSJON �. <br /> 3200 CEDAR STREET <br /> EVERETT, WA 9H2O1 <br /> (425) 257-88f0 <br /> =77 <br /> .��c� � C'o � � � � <br /> PROJECT ADDRESS <br /> .�1P,�P M�'�IP� k �,�S�� .4vr NE� .SQP�(�, 9�=//S.�G�� S�'7 o�'7r <br /> 0lvner Map Addreas <br /> �rtY StatelZip Phone <br /> �P1n � ��/�S �'ooX" G,/!�-, �r,�i rS� L( ��r �s8' �5�3�5 <br /> Tenant MalAddress City SWINZip Phone <br /> r� f a,A,(�„ �Go r Fv�t rY�� .�,��o Gu� g��n r �� �G� <br /> EIeoE�cal Contracto� Mail Address City / SlatefLip Phone <br /> �=�1� �N .� 1 �-f ZL (� <br /> State L cense Number Contratt Price of Work <br /> I 1 C'.�( ci t./.i('�. <br /> Proposed Use of Buiiding <br /> Description of Wark to Be Done: �- �� �� ~ � �� <br /> vf cj .fl t p ' � � <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 OR AC C'.BLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINI�,IUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AN� OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBIE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> R.4NGES OF WAC 51-20 SEC. 3106(b)4 E 6 F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREBY CERT/FY THAT I HAVE READ AlJD EXAM/NED 7N15 APPLICA'fION AND KNOW TNE SAME TO BE TRUE ANO CORRELT. ALL <br /> PROVI^IONS OF LAWS AND ORDINANCES GOVERN/NG THIS TYPE OF LVORK WlLL BE COMPLETED WHETHER SPEC(F/ED NEREIN OR NOT, <br />� THE Gl1ANTlNG OF A PERM17 DOES NOT PRESUME TO C,IVE AUTHORITY 70 V/OLAiE OR CANCEL THE PROVISIONS OF ANY OTHER STA7E <br /> OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERfORMANCE OF CONSTRUCfION. THAT I AM AUtHORIZED BY 7HE OWNER OF ' <br /> TH/S PROPERTY TO PERFORAI THE WORX FOR WHICH A?PLICAT/ON!S M1fADE AND f COMPL y WlTH THE STATE CONTRACTORS L4W 18.27 <br /> RCW AND 296.2G0 WAC, <br /> �J� �� <br /> C' � rsU�L FEE �35� <br /> SlgnaWre Date . <br /> EIEU%11EV 1091) <br />