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CITY GF EVERETT <br />BUILDING DIVISION <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />��� <br />Tenant <br />APPLICA �'�7N FOR ELECTRfCAL PERII�IT <br />, <br />Mnil Addrass <br />Mail Addross <br />�f �-FI� i�4 .L E � <br />Electrical Conttact r Mail Address <br />i ii,� F�� r. U�a �� <br />State License Number <br />st=('-� <br />Propased Use of Buildinq <br />City <br />Ciry <br />Ciry <br />� -`a� � �1 <br />E��io�_a4� <br />E��ag�y <br />� <br />� <br />I <br />( �l ( �� l�� � - �� �. <br />s�aco2v <br />stato2p <br />Stuta2ip <br />Contrect Price of Work <br />Phono <br />Phona <br />Phone <br />1 � � <br />Descriptian o( Work to 8e Done: ��%1 "r(� �1 �� i i I�� I�-�� — <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEAL'rH CARE FACILITIES <br />MUST BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHO`+V TfiE <br />STATE APPROVED PV` NS BEFORE CITY OF EVERErf PERMIT WILL BE ISSUED. WAC 296-46-140. <br />NOTE: WIRING IN NON-DWELLINGS 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 ACCFSSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTl,CLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br />RANGES OF WAC 51-20 SEC. 31061b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />/ HEREBY CfRTIFY THA7 / HAVE READ ANO EXAM/NED TFlIS APPL/CATlON AND ,KNOW THE SAMf TO BE TRUE ANO CORRECL ALl. <br />PROV/SIONS OF L4 N'S AND OROlNANCES GOVERN/NG THIS TYPf OF WORX WILL QE COhIPLE7ED WHE7HER SPECIFIED HER&N OR N07, <br />THE Gr7ANT/NG OFA PERh1/7 DOES N07 PRfSUhff TO G1VE AUTHOR/TY TO VlOG77E OR CANCEL TNE PROVISIONS OFANY O7HE? S7A7c <br />OR LOCAL LAW REGUL77/NG CONS7RUCTlON OR TNE PERfORhWNCE OF CONS7NUCTlON. THAT 1 Ahf AUTHORIZED BY THE OV✓NFi7 OF <br />THlS PROPERTY TO PERrUF,'.l 7h'c ltiORti FOR WHlG4 r1PPC(CATION lS MAOEAND ! COh1PLY 15%T'rl 7H[ S(ATc CONTRACTORS Ll YV I5.'J <br />RCIV ANO 296.200 WAC. <br />/ � l <br />�i�[_��( �-���.1�;'r�.V A. �r;�L�, _..'`� /'i�i7 FEE _;�.(7�) <br />Si9nnturo , Data <br />[i[cuircv cn;� <br />