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APPLI" 4TION FOR ELECTRICAL I'�RMIT <br /> cirv oF eveR�-r <br /> BUILDING DIVISION <br /> 3200 CEDAH STREEf <br /> EVERETf,Wq 98201 <br /> ��i/)� �/U/�j �� 259-8810 <br /> O (/ <br /> PROJECT ADDRESS <br /> �TCi4�s'�GY� 3� ��o � ���01 `�b��'p GJ ��Plif SO��� <br /> Owner Med Addross Qty Stam2p <br /> � � Phone <br /> {�GICCjN� �P�v�G/ <br /> 7enant Mnil Address Ciry Steta2p Phone <br /> �r�eb �l2c�i (,, G���/�U 1��0 �'�Lr�✓ �,vw�CJi(,�t/-�. �r�G.� 77S�acc�� <br /> Dectrical Contrector Me�l Address C�cy -� Sieca2p Phone <br /> / , �� <br /> Grie���os���,,.� � s� -- <br /> State �cense Number Contract Price of Work <br /> S�MJ� �M//�l� /`p`/!/lPNGP <br /> Proposed Use of Building ' <br /> Description of Work to Be Dane:_ {��/Jti i� �GG 7�/,J �G'(�d/C� ("''v�j G,/ ;�r�, <br /> S�lr�,� - /�/�, , _�,Gje fe✓ _ ,v✓7� <br /> NOTE: PLANS FOF ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> MUST BE APPRUVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE <br /> STATE APPROVED PLANS BEFORE CITY OF EVERETT PF•RMIT WILL BE ISSUED. WAC 296-46-140. <br /> NOTE: WIRING !N NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS. (MC AND AC ARE CABLES, NOT <br /> RACEWAYS. <br /> HAf�'DICAPPED 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. N/AC 51-20 SEC. 3106�c�2. <br /> ENVIP,ONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EdUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106�h�4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> l HfREBY CER7lFY THAT/HAVE RE40 ANO EXAM/NEO TNIS APPGCATION AND KNOW 7NE`A/AE TO BE TRUf AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND OROINANCES GOVERN/NG TH/S TYPf OF WORK WILL BE COMPCETED WHETHfR S�EClAED HERE/N(1R NOT, <br /> THE GRANTING OFA PERMIT OOES NOT PRfSUME TO GIVEAUTHORITY TO V/OLATE OR CANCEL THf PROV/SIONS OFANY OTHE i STATf <br /> OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT l AM AUTHOR/ZEO BY THf OWNER OF <br /> THIS PROPER7Y TO PERFORM THE WORK FOR WHlCH APPL/CATION lS MADf AND l COMPLY WITH THE STATE CONT!'i.4CTORS iAW 18.27 <br /> RCW ANO 296.200 WAC. <br /> r <br /> `�---� b�Y�/�c�� I�✓\ � � ,�� FEE 3�� <br /> Signa[uro Dato <br /> (�.�1�11��� . tt¢MA("lN51 <br /> l/ <br />