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APPLI(� TION FOR ELECTRICAL F 1VIIT <br /> CITY OF EVERfi'IT <br /> $UILDING DMSION <br /> 3200 CEDAR STREET <br /> EVERETT.WA 98201 <br /> 259-8810 <br /> � 5 / � ��=�7 <br /> PROJECT ADDRESS <br /> �/✓` i cJ !�� ^r h �� C�h, state/Zip Phone <br /> Owuer Mail Address <br /> , � =;GI �P <br /> l.v ' l ` �;�, p�� <br /> Teaant Mail Address ^ StatdZip � N7_ 7�' �T/ <br /> i�' i��� �/ec-r =,� G- ;-� - ,S s���` s.�� . ' � �i��7-�%f-`s�l�� <br /> El�trica►Conttactor M�il ddrau Ciry S4te/Zip Phoce State LiaaseNo. <br /> / �+ /� � ��'r"' Gti 1 �'C / ( � I�1 7 �*, - <br /> / �/ C�r <br /> Contdct Price of Work Proposed Use of Building <br /> Descciption of Work to Be Doca 1�_ ��` � h �T r � ��7` � ��S `� ,5'j6q d�� ly�'a rC��_ <br /> NOTE:WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK i4T EDUCATIONAL, INSTITUTIONAL <br /> J�OBS MUST SHOW THEISTATE APPROVED PLANS B FORE CITY OF EV RHET P RMIT WILL BEAISSUED.TM SUCH <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO 8E IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> HANDICAPPED 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. WAC 51-20 SEC. 3106(c)2. � <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT VVI'iH�N <br /> RANGES OF WAC 51S 0 SECo3 061b 4EE&F AND NOT LESS HANE36 INCHES ABOVE THE FL pR TME REACH <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK W�LL BE <br /> COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LA\N <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WNICH APPLICATION IS MADE AND I COMPLY <br /> WITH THE STATE CONTRACTORS LAW 18•27 RCW AND 296.200 WAC. <br /> X � __ L/%L���� s�� F� l��Z-- <br /> , ; _ — <br /> � Signa m Date � <br /> � ���� �� A . eleuPP Q227194) <br /> � J <br />