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APPLICAT� N FOR ELCCTRICAL� ERMIT <br /> C1TY OF EVERETT <br /> BU/LD/NG DIVIS/ON <br /> 3200 CEDAR STREET <br /> EVERETT, WA 98201 <br /> (425J 257-8810 . <br /> . <br /> �C1a.� `L`14vc�Y4 W2c.. $��-f Ll�`�LvS.� WA �(�p� <br /> PROJECTADDRESS c Has)K52--qsoo <br /> pac.�,� Y�'c�.;�1Tv��c�13�� - ii�-t�.. A.��. s.� s�cF�2o56,�s.1\�.�i��.�WA a$t��i <br /> ��e� MailAddress Clly ShtHZiP Phona <br /> �'vEor.�2.�Fovc.� -\O�� `LV4r4YL4v�U]�w d�aa� �4. �4,U,A R�ab�t CK2.9)?`ib-�Z7`t <br /> Tenant MailAddress City StatrJLp p�e <br /> AQo��o N��. I41a-1-16-tt. R�s 1� �� ,M2r��,.��, w� a$a�� c��asl � s,.,�a-3sa�t <br /> ElecfhcalContracto� MailAddress Ity SIatJLp� Phone <br /> ('� �owu � o �4 �� ��590� <br /> State License Number . Contract Price of Work <br /> �OMMC-�-�-�c. <br /> Proposed Use of Building <br /> Description of Work to Be�one: "�V\5'�Z�\ yy�-������r i (�Uy� , �c� �`t{��-� SL.� W't}� h�,�. <br /> �tiov� �}y���45 ov` ti�2\\ <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 CIT`(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 /> HANDICAF PED ACGESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLF ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONIAENTAL AND OTHFR CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALC�NG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E &F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> !HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPUCATfON AND KNOW THE SAME TO BE TRUE AND CORRELT. ALL <br /> �ROVISIONS OF LA WS AND ORDINANCES GOVERNlNG THIS TYPE OF WORK WILL BE COMPLPTED WHETHER SPEClF1E0 HEREIN OR�YOT, <br /> THE GRANTING OF A PERMIT DOES NOT PRESUME TO�IVE AUTHORITY TO VIOLATE OR CANCEL THE PROV�5lJNS OF ANY OTHER STATE <br /> OR LOCAL LAW REGULATING CONSTRUCTION OR TH�'PERFORMANCE OF CONSiRUCTION. TNAT l AM AUT,40RIZED BY THE J WNER OF <br /> THIS PROPERTY TO PERFORM THE WORK FOR WY.fCN APPLICATION IS MADE AND I COMPLY WITH THE STA I'S CONTRACTORS L4W 18.27 <br /> RCW AND 296.2C0 WAC. <br /> C�L�Wb� � _ -�_ FEE <br /> Signature �ate <br /> FlfCX1�tV tp91) <br />