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APPLICATIUN FOR ELECTRICAL PEF;MIT <br /> C1TY OF E'lERETT � ` <br /> 6'JILuliJG OIVISION <br /> 3200 CEDAR STREET <br /> EVERETT, WA 98201 <br /> (425) 257-D8J0 <br /> �J ��1 5� E VL r2�..T1 M ALf. Wltvl , E�lt%rL E�� w H `1$�8' <br /> PROJECT ADDRESS <br /> KFl�� o.� nM��c.,a- p c�, ��x 3yo?� 3 sE�rrn.�- w�- 9 Sia � — <br /> Ownef Mail Address City � StaterLip Phonc <br /> Tenant MailAddress Cily Stale2lp Phone <br /> M��tFa2 S I(�1�1 LJ, q �1� N�r4 iloS�� 5'r ('�� �x 3 3'��t 3 , �n'r7LE. ,,.i� �1�'i s��; <br /> EfectricalContractor MailAddress � City Slate.Zip <br /> l201o)loaH - �17�-1 3 <br /> _�1F�Af�SC ��I Q� --- ' <br /> -.t� I �-1'•'�;�: `= <br /> State License Number Contred Pri;,e ol Work <br /> . <br /> Proposed Use of Buitding <br /> Descriplion ol Wark to Be Done: 9 � -� ���JC �-f �' � (��� POI.E 5� (�� �lJ ��Z�GL�iM. C.PfA�NNE� <br /> �,r�/LS ti.JI ��'�.LMG�9'W� l� " OrM�NS�or��- r f�S� <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCA7IONAL, INSTITUTIONAL OR HEALTH C4RE FACILITIES <br /> MUST BE APPROVED BY THE STATE OF WASHINGTON. APPI.ICANTS 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: V'/IRING IN nON•DW'cLLINGS IS REQUIREU TO BE IN RACEWAYS. (MC AND AC ARE CABLES, NOT <br /> RACEWAI'S. � <br /> HANDICAPPED ACCE�SIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OF:ALONG ACCESSIOLE ROUTES OF TRAVEL SHALL RE MOUNTED A h71NIMUM <br /> OF 15 INCHES ABOVE THE FLOOFt. WAC 51-20 SEC. 3106(c)2. <br /> cNVIRONMENThL AND OTHER CONTROL RECEPTACLES AND OTHER OFERABLE EQUIPMENT WITHIN II <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REhCH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E 8 F AND �OT LESS THAN 36 INCHES ABOVE THE FL�OR. <br /> ! NEREBY CERTIFY TNAT I HAVE Rc/1D AND EXAM1flfJ6 TFiI.S APPCICATION AND KNOW THE SAM1fE TO BE TRUE AA'D CORRECT. ALL <br /> PROV1510NS OF LAWS AND ORDINANCES GOVERNING .T'��5 I Ii�E OF WORK WILL BE COMPLETED LVH<THER SPc'CIFIEO HEREIN OR NOT, <br /> THE GRANTING OF A PERMIT OOES NOT PRESUME !C �.:;✓r= 4111'yOR17Y TO VIOLATE OR CANCEL THc PROVISIONS OF ANY OTHER STATc <br /> OR LOCAL LAW RtGULA7ING CONSTftUCTlON OR THE PE�+FG4h1ANCE OF CONSTRUCTION. THA71 Afd AUTHORIZED B}'THE OWNER OF <br /> THIS PROPERTY TO PERFORM THE WORK FOR l�l'HICH APPLii.%'iON IS MADE AND 1 COMPLY WI i H THE STATE CONTRACTOR.^. LAW 1 B.27 <br /> ,4CW AI1G i95.200 L'lAC. <br /> '�� <br /> ��Gc.!—ti�� ����f"�''�/o+ � �v/�/ FEE <br /> SignaWre Date _ <br /> • ^�(�GiI�V EICCM:REti1G:1� <br /> i� l/�V <br />