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APPLICATION FOR ELECTRICAL P�RMIT <br /> CITY OF EVERETT <br /> BU/LD/NG DIV/SION <br /> 3200 CEDAR STREET <br /> EVERETT, WA 98201 <br /> �a2s� zs�-sa�o <br /> ID20 5.�. .��-�-�-f� lN1al1 wy,, <br /> PROJECT ADDRESS <br /> C�-eU�ov� �C�, �KSoY Sa� K4w�a� C� � �/S6'3-a9b�( s�o-e�lz�9s21 <br /> Ownef MailAddress City StatefLip Phone <br /> c G�-��ro� I�� sE. ��.����w�4cl w�,,. ��es�� W� <br /> Tenant C �q(� MailAdd/ress City State2ip Phone <br /> �e.f-2('� G�Q ��u-CI7��'S�%u2 �68� (�wr� �Su�f�1 I�wTU�t�o� 360- 424-13zs- <br /> Electrical Con rac Mail Address City StatelLip Phone <br /> Ilvle�-eT Sf� 3� 3 D � �.c��� <br /> State License Number Contract Price of Work <br /> �0.S /�oa.(' t,+no,r-� <br /> Proposed U e of Building <br /> � / �^ <br /> Description of Work to Be Done: �.(� 57'C( // � e UI U Vl S(CP l^(,��� <br /> U � � — -- <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> MUST BE APPROVED BY TF',[ STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE <br /> STATE APPROVED PLANS BEFG�'�E CITY Or EVERETT PERMIT WILL BE ISSUED. WAC 296-46-1�10. <br /> NOTE: WiRING IN NON•DWELLINGS IS REQUIRED TO BE IN RACEWAYS. (MC AND AC ARE CABLES, NOT <br /> RACE WAYS. <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 CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUi`ITED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES ABOV[ THE FLOOR. <br /> 1 HERE9Y CERTIFY THAT I HAVE RcAD AND EXAMINED THIS APPLICA710N AND KNONJ THE SAME TO BE TRUt AND CORRECT. AL! <br /> PnOI'ISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHEiHER SPECIFIED HEREIN OR NOT, <br /> THE GRANTING OF A PERMI7'DOES NOT PRESUME TO GIVE AUTHCRITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE <br /> OR LOCAL LAW REGULATING CONSTRUCTION C�F THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE OWNER Or' <br /> THIS PROPERTY TO PERFORM THE WORK FOR WH1CH APPLICATfON IS MADE AND I COh1PLY WITH THE STATE CONTRACTORS LA W 18.27 <br /> RCW AND 296100 WAC. <br /> �'Zi7-,—r� "l IZ — ��— 4° � /.�/�,�Q� FE E <br /> Siynature pa�e � II <br /> ELEGPIflN1dG>I <br />