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APPLI�ATION FOR ELECTRICAL ��r�MIT <br />CITY OF EVERETT <br />BUILDING DIVISION <br />3200 CEDAF STftEET <br />EVERErT, WA 98201 <br />/• <br />� f- � � � i <br />PROJECT ADDRESS <br />r <br />l. ���� � r; <br />owner <br />Tenant <br />FJectrical Contrac[ r <br />�-�� s Uka R � <br />Sta[e License Number <br />�.urj��. (� 1 �^� . <br />Lropo� sed Use or Buil---dTng ,( I <br />Descriptian of Work to 8e <br />� ���I�1 r i� <br />� <br />Meil Addresa <br />Meil Address <br />I� <br />Mail Addre.s <br />I ��.U`Ci -:C7)��, <br />Ciry <br />Ciry <br />City <br />� <br />� <br />State2p <br />Steta2p <br />Phona <br />Phona <br />Phone <br />�-�----�� �� %, �'/.�� � <br /><(:ontrect Price of Work � <br />� i <br />�+ <br />NOTE: PLANS FOR ELECTRICAL WORK A7' EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br />MUST BE APPROVED BY THE STATE OF'NASHINGTON. APPLICANTS WI'1'H SUCH JOBS MUST SHOW THE <br />STATE APPROVED PIANS UEFORE CITY OF E'VERETf PERMIT WILL BE ISSUEG. WAC 296-46-140. <br />NOTE: WIRING IN NON-D'NELLINGS IS REQUIRED TO BE IN RACEWAYS. (MC AND AC ARE CABLES, NOT <br />RACEWAYS. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />WITHIN ACCESSIE3LE SPACES OR ALOPIG ACCESSIBLE ROUTES OF TRAVEL SHALI BE MOUNTED A PdINIbiUP,t <br />OF 15 INCHES ABOVE THE FLOOR. WAC 57-20 SEC, 3106(c12. <br />F.NVIRONMENTAL AND OTHER CONTRQI. RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHI�•: <br />ACCESSIBLE SPACES OR AIONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br />RANGES OF WAC 51-20 SEC. 3106(b14 E& F AND NOT �ESS THAN 36 INCHES ABOVE THE FLOOR. <br />l HEREBY C£RTIfY 7HA7 1 HAVE READ AND EXAM/NfD 7NIS APPLlCATlON AND XNOW 7HE S4ME TO BE TRUc" AND COR.4EC,'�. ALL <br />PRO%/S/0NS OF LAWS ANO ORD/NANCES GOVERN/NG TH/S TYPE OF WORK WILL BE COMPCE7ED WHETHfR SPECIFlED HE�+EI,Y OR h'O ; <br />THEGRQNT/NG OFA PERMIT OOES N07PRESUME T0 GlVf AUTHORIT/ TO V/OLiTE 9R CANCfL THEPROVIS/ONS OFANY OiN&? 57ATc <br />OR COCAL L1 W REGUCATING CONSTRUCT/ON OR TNE PERFORHW NCf OF CCNSTRUC7/ON. THAT 1 AM AUTHOR/ZED BY TNE OWNER OF <br />7NlS PROPfRTY TO PfRFORM TNE WORK FOR WHICH APPL/CATWN lS h!AOf Ah'D ! COdiPLY W/TN 7HE STATf CONTR4CTOR5 L4YV 18.77 <br />RCIYA/JD 296.200 INAC. <br />� /� , i .� ��rc +3 ,�i(.L' .. <br />Sipnatura <br />-"� �� �r � ��� l ( <br />�. <br />Date <br />FEE / «. C; C — <br />i� ii—� y)�� �, <br />nuu-,�c: e_.., <br />