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APPL_lCAT1�N FOR ELECTRICAL�ERM4T <br /> cirr oF eveRErr <br /> BUILD/NG DIVISlON <br /> 3200 CEDAR STREET � <br /> �-VERETr WA 98201 <br /> (425J 257-8810 <br /> Ur�' � I lo <br /> 1 f�X �� �,' SG��� <br /> ��(/ l-l�w�r� /-�-�-�- � �v� / �5'� C�'���`� � a4 04 <br /> PROJECTADDRESS �arnrt�C'�5m�'I"�t ��iL�ei.cv t-�31�—��� `J���� �'Y S� t•U, <br /> l�it-r�i ��� �T—c°_�rvr���a-���t�=-�G L'���/�- �,(fd�_�-��z2,��'2=�6 <br /> Owner MailAddress City SiatelLip Phone <br /> \f QcQrv� <br /> Tenant MailAddress City State2ip yzS-3s3�gssi <br /> Q L GC-2��a it11� E(n_�. S S/2 /yv/��Y�� So��Pu��� �/4/� l,t//�• 95�27.� <br /> ElectricalContrecto� �dailAddress City� StatelLio Phone <br /> �I iAC PE.�� 7/.7r1� �/ ,��S��S.o� <br /> State License Num6er , Con��rice of Work <br /> �i Clrt/V t �-O�� <br /> Proposed Use of Buildin <br /> Description of Work to Re Done: ��t; �q��%/i� f�q cP ��f�jU2q ���2%��4 V���i��Li �T, <br /> CD�/ �v Z(,v Y`�ctit�X � �r/'�' a , .ci P.w S�%� -�Gi'c�.e�Gs, - -e,Pis� <br /> !21 P/�C/ .S��CS.1/ CPi . <br /> NOTE: PIANS FOR ELECTRiCAL WORK AT EDUCATIONAL, INST��TUTIONAL OR HEALTH CARE FACILITIES <br /> MUST BE APPROVED BY TH� STATE OF WASHINGTON. APPLICAMTS WITH SUCH JOBS MUST SHOW THE <br /> STATE APPROVED PLANS BEFORE CIIY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO 8E IN R,4CEWF�YS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICA7IONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPAGES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES A80\�E THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTRO� RECEPTACLES AND QTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> R,4NGES OF WAC 51-20 SEC. 3106(b)4 E & F AND NOT LESS THA�d 36 INCHES ABOVE THE FLOOR. <br /> ! HEREBY CERT/FY THAT 1 HAVE READ AND EXAMINED THIS APPLICA710N AND KNOW TNE SAME TO BE TRUE AND CORRECT. ALL <br /> PROV/S/ri✓S OF LAWS AND OftDINANCES GOVERNING THIS 7YPE OF WORK V/1LL BE COMPLETED WHETHER SPEClFIED HEREIN OR NOT, <br /> THE G2,:f�'I,NG OF A PERMIT DOES NOT PRESUlAE TO G1VE AUTHORITY TO VIOLATc OR CANCEL THE PROVISIONS OF ANY OTHER S7ATE <br /> OR LOCAL LAY,�REGULATING COiJSTRUCTfON OR TNE PERFORMANCE OF CONSTRUCTION. THA7'I Afd AUTHOR/ZED 8Y i HE O WNER OF <br /> TH/S PROP�RTI'TO PERFORM THE WORK FOR WHICH APPGCATlON IS MAOE AND I COMPLY WITH TNE STAiE GONTf2ACTORS LAW 18.27 <br /> RCW AND 296.2G0 WAC, <br /> �.�n� ���� y � �9� FEE �� <br /> Signature �ale <br /> E�r W tn w IDY)1 <br /> i 1 <br /> II, <br /> ` <br /> . , .. . , ' � ,i ,,i <br />. . . . �.1 . .. <br /> . . . - . '� , ' . . . . <br />