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APPLICA .ON FOR ELECTRICA' PERMIT <br /> CITY OF EVERETT <br /> BUILDING D:VISION <br /> 3200 CEDAR STREET <br /> EYERE7T, WA 98201 <br /> (425) 257-881� <br /> '�'/l,� ���Cr ��i >?C.;/C �1 ��i i >c: <br /> PROJECT ADDRESS �7 <br /> /� .. , ' i � �� .1�": :;�i;� �;,i�•_�:y;,�,�, <br /> � )/ / / l l �! ( 7�c-.�,.� � �� %� � l �i i l 7 J'' /� > C ' � (- l/� . �/,� , <br /> �Vlnef <br /> MailAddress / Ciry SWIelZip Plwne <br /> MailAddress Ciry Sta�a.2ip Pnone <br /> Tenant } <br /> r � / i 1,� ,_' _� C;/i � �, -���� • ;i; u,�c�-1C- '�-� `, '% :� . ly/. <br /> % J � 1� )c y 7 � � i � i r � � � Sla�elLip Phone <br /> Electtical Contracto� Mai�Address ��ry <br /> / � •�l :'. _ � � . <br /> 1 � �� � ' i� <br /> �)l� ic: } S h / ',_ ; �, � ;. , <br /> State License Number Contrect Price of Work <br /> ,; / ,�- r; , � � / /, : <br /> Proposed Use of Building � <br /> DescriptionofWorktaBeDone: � i � � 1i� 'j� � �1( (' ��� ' �� �� . �� � � ��� �� �" 'j-�} � 1 � l <br /> �' �� ' r' � �f lI ) �� �_ "� ..-�"'�'/ r> /� - <br /> i <br /> MUST BE PPROVEDEBY T EI STA E�OF WASHINGTONN APPLICANTS'WITH �CHEJOBS MUST SHOW THE <br /> STATE APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-a��-140. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> � WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MININUM <br /> OF 15 INCHES A80VE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> RANGES OF WAC SE 20 SEC.�3N 6()4 E &F AND NOT LESS T HN 36 NCHES ABOVE THE F�LOORN THE REACH <br /> 1 HEREBY CERTIrY 7HAT 1 NAVE READ AND FXAMINED THIS APPUCATION AND KNOW YHE SAME TO BE TRUE AND CORRECi. ALL <br /> PROVISIONS OF LAWS 4ND OROINANCES GOVERNING THIS TYPE OF WORK WILL BE COAIPLETEO WHETHER SPEGlFlED HEREIN OR NOT', <br /> THE GRANTWG OF A PEft'dlT DOES NOT PRESUME TO GIVE AUTHORlTY TO VIOL7TE OR CANCEL THE PROVlSlONS OF ANY OTHER STATe <br /> THIS PROPERTY TO P RFORM THE WORK FOR WHfCH APPLI�C�TION�S MACE AND 1 COrMPLY WITH'ThE Si TE CON�RACTORS W W�8 21 <br /> RCW AND T96.200 WAC. <br /> , �� ,� FEE <br /> ' , . � )�� ; i� i � <br /> SignaWre Date <br /> 7d� �,E!33, <br />