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APPLIC,,�ITION FOR ELECTRICAL PFRMIT <br /> � <br /> CITV OF EVERETT <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET' <br /> EVERETT, WA 98201 <br /> 259-8810 <br /> /�/� / Eve�f�R�e..J c.,./�y�� Ll+�� f l S t3:,..1r�l�,,, d� <br /> PROJECT ADDRESS J <br /> S/���-[t� �,��.�,�r l�'/� %/�"�� S�, ,i�, , 9��s <br /> Ow� f Meil Addrass City � Stete2p Phona <br /> u -!f Sc •n <br /> TCnant Meil Address City State2p Phone <br /> '�S S�.a�P{.,l�����z L .�l�!� (�!�%k�c c..) �y,�r��:,� ,.�.� s�u��. 77�-os a.� <br /> Electrical Contractor Mail Address Ciry Stace2p Phona <br /> /'tS.50 C f� O �b� NL _ ��� Sa �=" <br /> State License Number �� Contract Price of Work <br /> S C•.J��.t 1w7 <br /> '�'�-(�, / �Y���� � � � <br /> Proposed Use af uiiding <br /> �c�j� �i�.Y 5�zo.r.ti �L'•J <br /> Descriptian of Work to Be Done: /L/l�J QKn -�Q- � � <br /> c.�.), �� <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 EVEREfT' 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 W S <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINI : <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c12. <br /> eNVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITH�IJ <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WF,C 51-20 SEC. 37061b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> /HER[BY CERTIfY THAT !HAVE REAO AND IXAMINED THIS APPL/CATlON ANO KNOW TNE SAME TO BE TR'✓E AND CORRECT. ALL <br /> PROVISIONS OF LQ WS AND OROINANCES GOVERNING THIS 7YPE OF WORK WILL BE COMPLETED 4YHElHER SPEClf1ED HERFJN OR NOT, <br /> THE GR.4NTfNG OFA PfRMIT DOES NOT PRESUME TO GIVEAUTHORITY TO VIOLATE OR CANCEL THEPROV/SlONS OFANY OTHER STATc <br /> OR LOCAL LAW REGUCATING CONSTRUCTION OR THEl�ERFORMANCE OF CONSTRUCTlON. THAT l AM AUTHORIZED BY 7HE OWNER aF <br /> THlS PROPERIY TO PERFORM THE WORK FOR WHICH APPLICATION lS MADE ANO l COMPLY WITH 7HE STATE CONTRACTORS LAW 18•Z7 <br /> RCW AND 296.200 WAC. <br /> � � ��,�, �'Zyis� FEE �� �= <br /> Signature Date <br /> . ntcu�A[v ensi <br />