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�� Z � � �� <br /> APPLICATION FOR �LECTRICAL PERMIT � <br /> CITY OF EVERETT j_, , " <br /> BUILDING DIVIS;ON <br /> 3200 CEDAR STREET <br /> EVERETT, WA 9£3201 <br /> �S - zss-earo <br /> f � 2v <br /> Owner � Mail Address a� <br /> City State/Zip Phone <br /> — �/c�� /'JG�aPiE� <br /> Tenant Ma�l Address <br /> / City Slate/Zip Phone <br /> ��/��' � �72� - ��]/o. IZ7�/ J�/1 -�1f�/�� �/7 7�0� Pr��/�2ecio�c� <br /> Elect(tcal Contractor Ma�1'Address ' <br /> _ /�� L C��Y State/Zip Phone State LicenseNo. <br /> o o.� , <br /> Contract Pnce of Work �/ =�� �AI <br /> Prop ed Use oFBuilding <br /> - �i� -��� ,e �'-/���� <br /> Pro�ect Address - <br /> Description of Work to Be Done: _ �f��j� ��� ��� ���r �O <br /> �/ ��//✓-l7 L✓/f�ii�/� -- <br /> NOTE: VdAC 296-4G-140 REQUIRES THAT PLANS FOR ELECTRICAL WORIC AT EDUCATIONA�, INSTITUTIONAL <br /> OR 4EALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH <br /> JOBS MUST SIiOW TI1E STATE APPROVED PLANS BE�ORE CITY OF EVERET PERMIT VJII.L BE ISSUED. <br /> NOTE: WIRING IN NQlV-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEVJAYS (fviC AND AC, ARE CAf3LES, <br /> NOT RACEWAYSI. <br /> HANDICAPPEU ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSI6LE ROUTES OF TRAVEL SHAL� BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. <br /> ENVIRONMENTAL AND OTHER CONI"ROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLc SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF THE 1931 u.B.C. SFC. 3106(b14 AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br /> COMPLETED WITIi WNETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GIVE AUTHORITY TC VIOLATE OR GANCEL THE PROVISIONS OF ANY OTHER STATE OR IOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> QWNER OF THIS PROPERTY � PERFORM THE WORIC FOR WHICH APPLICATION IS MADE AND I COMPLY <br /> WITH TH „ ATE CONTRAC Of2S LAW 7g,27 RCW AND 29G.200 WAC. <br /> /X � <br /> C�I <br /> /'� 9� F� `�'Z�.C'l� <br /> `�gnature -- <br /> �Date <br /> �S �� �i«,rr c�iza�va� <br />