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APPLICATf."N FOR ELECTRICAL "�RMIT <br /> CITY OF EVERETT <br /> BUILDING OIVISION <br /> 3200 CEDAR STREET <br /> EYEREI"T, WA 98201 <br /> (425) 257-88i0 , <br /> 'F1T <br /> 5 2 2_� � �,�-, ���,� -�r ,g . <br /> PROJECT ADDRESS <br /> � l> >.v i S c .ti,/I./ <br /> Owner Mai�Address City State/Zi <br /> P Phane <br /> Tenant Mail Address City State2i <br /> P Phane <br /> t.J») (vM r_��._��1.�( � �� �i � _ �� i�-1 A - U � � i i �. <br /> ✓` •� •� �,./f1 5'3'v ?) c52 -�73�h <br /> Electncal Contractor Mail Address C�ty State2ip Phone <br /> �,,� ���,=�=��2 � u� . <br /> State License Number , Contrect Price of Work <br /> IM � � �- <br /> Proposed Use of Building <br /> Description of Work to Be Done: �� y. 5� ��,J�ZE .��) n/i= � ��/� ; ��,3 �, ,�f� �, , � , <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> MUST BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE <br /> STATE APPROVED PL/iNS BEFORE CI7Y OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN R.4CEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TR,4VEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLVOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPER,46LE EQUIPNENT WITHItJ <br /> ACCESSIBLE SPACES OR A�_ONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E & F AND NOT LF.SS THAN 36 INCHES ABOVE THE FLOOR. <br /> ! NEREBY CERTIFY THAT I HAVE READ AND E?CAMINED TNIS APFUCATION AND KNOW THE SA.ME TO BE TRUE AND CORREGT. ALL <br /> PROVlSIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPEClF/ED HEftE/N Oft N07, <br /> TiiE GRANT/NG OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VfOLA7E OR CANCEL THE PROV/SIONS OF ANY OTHER S7ATE <br /> OR LOCAL LAW REGf,'LA.TlNG CONSTRUCTION OR THE PERFORh1ANCE OF CONSTRUCT/ON. TNAT I AM AUTHORIZED BY THE OWNER OF <br /> THIS PROPERTY TO PERFORM THE WORK FOR WHlCH AFPIJCAT/ON IS MADE AND 1 COMPLY WlTH THE STATE CONrR.4CTORS!AW 18.27 <br /> RCW ANO 296.200 WAC. <br /> i <br /> � /- c�� �— •; /i > I i � FEE <br /> i <br /> �SignaWre Date <br /> � C��O[.����/� <br /> J <br /> cieua�ncv io�» <br />