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APPLICA�'. JN FOR ELECTRICAL�. 'Ef��'dilT <br /> ClTY OF EVERETT <br /> BUILDING DIVISION <br /> 3200 CEDAR STREE� <br /> EVERETT, WA 98201 <br /> (425)257-8810 <br /> _ 19"'' A�e�,uE S.F t 1...KE NE�Gwrs .�z,✓E <br /> PROJECT ADDRESS <br /> Au'fwunvE <<�u,u sG¢,�cas �iv2 8 ,,r ,'�t.aze 5 � 3c�> T. ,,,,, F�A s84oz (rss�3 � 4993 <br /> OWnef MailAddress Cky Stxte2ip Phona <br /> �I�A <br /> Tenant MailAddress City State2ip phane <br /> (�PS,S erG1:. (rNf;Q�Lnw✓ Cc r'0 aox ZBo �uYAr.idP WA 4 Bz't l �2�3�By�w6+lv <br /> ���o� Mad Address City StatelLip Phone <br /> b/:U[a.ia. <br /> A33 rr Ec, �ot 3HS A5 <br /> State License Number . Contract Price of Work <br /> Proposed Use of Building <br /> Description af Work to Be Done: / <br /> — � <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 PLANS BEFORE CITY OF EV[RETT PERMIT WILL BE ISSUED. WAC 296-46-'40. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSI91LI7Y: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTE£ OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES A80VE THE FLOOR. WAC 51-20 S[C. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLL• SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF�NAC 51-20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> 1 HEREBY CERTIFY THAT I HAVE READ AND EXAM/NED TH/S APPUCATION AND KNOW THE SAME TO BE TRUE ANC CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING 7HIS TYPE OF WORK W/LL BE COMPLETED WHETHER SPECIFIED HERE1fJ OR N07, <br /> THE GRQNTING OF A pERM1T DOES NOT PRESUME TO GIVE AUTHORITY TO V10LATE OR CANCEL THE PROVISlONS OF ANY OTHER STATE <br /> OR LOCAL LAW REGULATING CONS7RUCTION OR THE PERFORh1RNCE OF CONSTRUGTION. THAT I AM AUTHORIZED BY'TNE OWNER OF <br /> e� THIS PROPERTY TO PERFORM THE WORK FOR WH/CH APPLICA710N IS MADE AND 1 COMPLY W1TH THE STATE CONTRACTORS CAW 18.27 <br /> RCW AND 296.200 WqG. <br /> �p ZZ �JB (J�f�� FEE ��-- <br /> i <br /> Signature Date � ��� <br /> EtfU%I1EYtO91� � <br />