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APPLICATION FOR ELECTRICAL PERMIT <br /> C�TY OF EVERETT � � <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> EVEREIT, Wq gg201 <br /> � <br /> �—�Z C.o�.3� Av� � 5r ��c�2 2ss-ss�o <br /> PROJECT ADDRESS <br /> No'�-r� co ���� C�� �.1�, .��,-r ,,�,,,,_ �e2�, <br /> Owner Meil Address <br /> Ciry StatelLp <br /> �) ���S Phone <br /> �-`l 0`1 c�.�� �.�IL, ��� �.,} c'6��1.1 <br /> Tenant Med Addross <br /> ��� State2p <br /> �,( � Phone <br /> �t.EC..�.��l�sS�. �SS� t%rh��� b�,'1LE- <br /> Electrical Contracior � �-��- ���3`�" 34-� l4A <br /> Meil Addrese <br /> C�ty Sta[a2p � <br /> -�(Lc ��.�5� Phone <br /> State License Number �� �jG�� <br /> Controct Price of Wark <br /> 'C�..Y�l� 1 r�.P�JLz�.n`�� <br /> Proposed Use of Building <br /> Description of Work to Be Done:�( _}� L,�(,�-��� � �J�_� � c <br /> � S� 1� � U{�S <br /> , <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> MUST BE APPROVED BY THE STATE OF WqSHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE <br /> STATE APPROVED PLANS BEFORE CITY OF EVER�'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, NOT <br /> RACEWAYS. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WqLLS <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 Sc'C. 3706(c�2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BF MOUNTED WITHIN THE REACH <br /> RANGES OF WqC 51-20 SEC. 3706�b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> /HERfBY C£RTlFY THAT/HAVE RFAO qND EXqMlNED TH/S AppLICATION AND KNOW THE SqME 7.; BE 7RUE AND CORRECT. ACL <br /> PRUV/S/ONS OF LAWS AND ORD/NANCfS GOVERNINC THIS TYPf OF LVORK W/LL BE COMPCETfO Wf/�HER SPfClF7ED HfRElN OR NOT, <br /> THE GRANTlNG OFA PERM/T DOES NOT PRESUME TO G/Vf AUTFIORITY TO V/OLATE OR CANCEL THE PROV/S/ONS OFANY 07HER STATE <br /> OR COCAL LAW REGULqTING CONSTRUCTION OR THf PfRFORMANCf OF CONSTAUC7/ON. THAT l AM AUTNOR2ED BY THE OWNFR OF <br /> TH/S PROPERTy TO PERFORM THE WORK FOR WHICH APpL/CATION lS,NAOE ANO/COhlPLY WITH THE STATE CONTRACTORS LAW T B.Y7 <br /> nCLYANO�96.100 WqC, <br /> ���--' `� " � _ ^7 �G � ' / , <br /> �� Signaturo — � � FEE ��`-f' ? -- <br /> Data — <br /> S�Q/ 1 ' R[CNRNb051 Li <br /> � � <br />