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APPLICATION FOR ELECTRICAL P�RMIT <br /> CITY OF EVERETT � <br /> BUILDING OIVISION <br /> 3200 CEDAR STREET <br /> EVERETT, WA 98201 <br /> (425) 257-8810 <br /> % l 1 5 C f ue�e �� G�tQ�� Gt/cz ;J <br /> PROJECT ADDRESS <br /> (,�l�s�F La Ke �sso c. _ a g�o �Qs�fLa� �Ue.E�t. Sea _ r,�u� 9�io2 y.zs as� ��1b <br /> Owner MailAtldress Gty Stale2ip Phone <br /> L f'P_cYi f /�CSD(1 VCC S 11C. /l 1 SC �CiPrP 1�'� /�IA.�(.(��U <br /> Tenant MailAddress City Slate2ip Phone <br /> �,K�re� �L«-(�� �a.�� �S�ir ao 3 Z� lQ�ve Sea�f�e W< y�8�ss aoG .��-6 3�5� <br /> ElecUical Contractor Ma�l Address City � State2ip Phone <br /> ov <br /> V� �< ; �,��o � a � � 300 � <br /> State License Number Contract Price of Work <br /> �� .�C <br /> Proposed Use of Bui�ding <br /> Description o(Work to Be Done: 1�L$(dXX / 3 ��� �����p� 3 �Z� <br /> . � <br /> � <br /> c,.� � �e S / •� ' ,Q�,�t ,� Fik� ts �'K, 7'-eota�r� �'�'�tc� <br /> ii/c� L�c !�f�' �^r � t� <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> MUST BE APPROVED B' THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE <br /> STATE APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-1�10. <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 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 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 /> 1 NEkEBY CERTIFY THA7 I HAVE READ AND EXAMINED THIS APPLICATION AND HNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVlSIONS OF LAWS AND ORDINANCES GOVERNING i HIS TYPE OF WORK WILL BE COM1IPLE7ED WHETHER SPECIFIED HEREIN OR NOT, <br /> T'rIE GRANTING OF A PERMIT DOES NO r PRESUM11E TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROV/SfONS OF ANY OTHER STATE <br /> OR LJCAL LAW REGULATING CONSTRUCTION OR THE PERFORM1IANCE OF CONSTRUCTION. THA71 AM AUTHORIZED BY THE OWNER OF <br /> 7H/S PROPER7Y TO PERFORAf THE INORK FOR LYH/CH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE CONTRACTORS LAW 7B.27 <br /> RCW AND 296.200 WAC. <br /> ��CCtif/1. �-�C �—' l� � —ZO�9 � FEE <br /> Signature Dale /D � <br /> nccec�nEv,arori <br />