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APPLICATION FOR ELECTF,ICAL PERMIT <br />c�rr oF Ev�err � � <br />BUILOING DIVISIQN <br />3200 CEDAq STp£ET <br />EVERETT, WA 98201 <br />�a.9 M��l,s� <br />PBn Icr�r w n�..�.... _ <br />owner <br />Tenant <br />/�;Lkc ff5 t7.Z�% /1'ta.��'son <br />Meil Addreea <br />mm� r,nareaa <br />de,rc.� V��- 98Zo3 <br />r.;ry <br />City <br />��).�{�,� �le��ri� �o�S-g0�` .S-�xe'�.SW F'=vo+-t�l� <br />Efecvical Canvactar Mail Addresa <br />�� �o E� 13 } P3 c�ty <br />State License Number � — <br />�SI�C� t� � <br />Propased Use af Building <br />� <br />� <br />, <br />'C'N�.S; �5 Z— <br />Stata2p <br />Stete2F <br />cJA 98z�31v�, <br />Sia[e2p <br />Canttact price of Wark <br />Descriptian of Work to 8e Dane: =�lS�fc.�,- l � f-! (�-'-p+ rv� �(�,+ �� /_ <br />W✓1NC� <br />� <br />Phone <br />Phana <br />—�600 <br />Phone <br />NOTE: P�,qNS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTfONAL OR HEAITF{ CARE FACILITIES <br />MUST BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE <br />STATE APPROVED PIANS BEFORE CITY OF EVERETT PEAMIT WILL BE ISSUEO. WAC 296-46-140. <br />NOTE: WIRIPtG IN NON-DWELLINGS IS REQUIRED TO BE JN RACEWqYS. (MC AND AC ARE CABLES, NOT <br />RACEWAYS. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL ANG CCMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />OF 15 INCHES ABpVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br />ENVIRONMENTAL AND OiHER CONTRO� RECEPTACLES AND OTHER OFcqABLE EQUIPMENT wm-�ir: <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br />RANGES OF WAC 51Q0 SEC. 3106(bJ4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOF. <br />/ HERf3Y CE?TIFY T/{q r/ HAVE REAO AND E7CAM/NED T,y/S APPLlCqT/ON qN0 KNOW THE SAME TO BE T'RUE ANO CORRECr ALL <br />PROV/SlONS OF (�3 WS ANO pR0/NANCES GOVERN/NG THIS Typ� OF WORK W/LL gE COMPLErEJ 1NHF,THE`7 SPfC/F/ED HFiTFJN OR NO7; <br />THE GRANT/NG OFA PERM/T OOES NOT PRESUME 7'O GNEAUTHOR/Ty TO V/OCATE OR CANCEL T7-'F PROV/S/ONS OFANY OTHfR STATE <br />OR LOCAL LAW HEGUCA7/NG CONSTRI/CTiON OR THE P_<RFpRMANCE OF CONSTflUCTION. TNAT l AM AUTHOR2ED BY THE OWNER OF <br />THIS PROPER7Y TO PERFqRM THf WORK FOR WH/CH APPLICq TION lS MADEAND / COMPLY W/TH T.-/E STATE CONTRACTORS LAW 78. 27 <br />R ND 296.Z00 WqC, <br />\� ���`�/� ,� �- <br />signatura <br />Da[e <br />FEE �� <br />c�c�nntv un� <br />