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APPL�TION FOR ELECTRICAL f�RMiT <br /> CITY OF EVERETT <br /> BUILDING DIVISION <br /> 3200 CEDAR STFiEET <br /> EVERETf, WA 98201 <br /> 259-8810 <br /> .SoZ`� - � � G�� � e <br /> PROJECT ADDRESS <br /> Owne�rh�A S M�i�JS j <uJ 5h� 1'�(�OY S��vt✓lT�✓SDv' "V+✓��� , w�A G] �S Z �c�S <br /> Mml Addross pty 5[ote2p <br /> Phone <br /> TenBnt Moil Addresa Ciry Stete2p Phone <br /> Qr'V.r� ' �c"1v�� L Z�f��Z �m�l �v.Q ,� �r��ns�� I/v� �3�� �� �/264 <br /> EleCttiC21 COntfact0� Meil Addross dry State2p Phone <br /> State License Num6er Contract Price ot Work <br /> Propased Use of Bwlding J � � <br /> � <br /> Description of Work to Be Dane:_ � 2pyjQ(J/���� S�✓L� 1 �s� <br /> NOTE: PLANS FOF ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CAAE r'ACILITIES <br /> MUST BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE <br /> STATE APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. <br /> NOTE: WIRING IN NON-DWELLIPJGS IS REQUIRED TO BE IN RACEWAYS. (MC AND AC ARE CABLES, NOT <br /> RACEWAYS. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALIS <br /> WITHIN ACCESSIBLE SPACES OR ALOMG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUtii <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG 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 CERTI!-y THAT/HAVE REAO AND EXAM/NED TH/S APPC/CATION ANO KNOW THE SAME TO 8E TRUE ANO CORRECT. ALL <br /> PROV/SIONS OF LAWS ANO OROINANCES GOVERNING Th/C Typf OF WORK WILL BE COMPLFlEO WHfTHu7 SPEC/FIEO Hfi?£1N OR NOT, <br /> THE GRANTING OFA PERMIT DOfS N07PRESUME TO G/VEAUTHORl7Y TO VIOLATE OR G7NCEL THE PROV/S/ONS OFANY OTHfR S7A Tc' <br /> 0.4 LOCAL LAW REGULqTlNG CONSTRUCT/ON OR THE PERfORMqNCf Of CONSTRUCT/ON. THAT/AM AUTHORIZED 8Y THE OWNu7 OF <br /> THIS PROPERTY TO PERFORM THE WORK FOR WHlCFI APFLlCATlON lS MADEAND l COMPLY WITH THE STATE CONTR.QCTORS LAW 18.2i <br /> RCWANO 96.200WAC. <br /> � �^ b� 9 FEE <br /> Sipnaturo Dato <br /> � tt[C4��[V N51 <br />