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APPLI�:TION FOR ELECTRICAL 1�1tNIIT <br /> CITY OF EVERfiTT <br /> BUILDING DMSION <br /> 3200 CEDAR STRE�'I' <br /> EVERETT,WA 98201 <br /> 259-8810 <br /> �7 3y ��C�� ��, e�9 �� e .� <br /> PRO CT ADDRESS � ',� <br /> /�o�,d�.� qlG ti 9�)�� ��'�LI�, �;� ��w �'���i <br /> �.� CQ �� ,'r �, s,,��;P Phone <br /> p��r Mail Addcess h' <br /> Tenant Mail Address City S���p Phone <br /> C3—✓'ee/` �c.�a"f' �S� S Gocr�c.o��s� ���'� ca9A `t�?�O 33a,�t�q <br /> Electrical ConUactor Mail Address City State/Z�p Phone State IacroseNo <br /> � <br /> �'�� O SS (S�' <br /> ti - <br /> Contract Price of Work Proposed Use of Building <br /> DescripGon of Work to Be Done: �/ �P ���—E' ' ' A7 S /�Y���e Q <br /> �Q��u,�P���Q� <br /> � � <br /> NOTE:WAC 296-46-140 FIEQUIflES THAT PlJ{NS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL <br /> J�OBS MUST SHOW THE'STATE AP ROVED PLANS B FORE CITY OF EVERHET P RMIT WILL EISSU p�TM SUCH <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN MEfALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> HANDICAPPED ACCESSIBILITY: .ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <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 SEC. 3106(c)2. <br /> ' ENVIRONMENTAL AND OTHER C�NTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> RANGE3 OF WAC 51520 SECO3 061b14EE&F AND NOT LESS THANE36 NCHES ABOVENTHE F OOR. TME REACH <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br /> COMPLEfED WITHLWHETHERI SPECIOF ED HEREIAN OR NOT THE G ANTWG'OF A P'ERMIT DOES NOTKPRE UME <br /> TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY 7HE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WNICH APPLICATION IS MADE AND 1 COMPLY <br /> WITH THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> 3 � <br /> X �� � �� F� J <br /> Si re Date � � ' <br /> � �/�d� , elttaPP(Il17194) <br />