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APPLIC�ION FOR ELECTRICAL P�RMIT <br /> CITY OF EVERETT � <br /> BUILDING DIVISION <br /> J200 CEDAR STREET <br /> EVERETT, WA 98201 <br /> (425) 257-88f0 <br /> _ l S o Y Po,-1� Df � ���,�p t� <br /> PROJECT ADDRESS <br /> M�•sS �ij�ev� /S ay pqrk Dr ,is✓t]'� LvA 9�?v3 G527 yc3"-3S�-�g68 <br /> Owner Mail Address <br /> ��Y State2ip Phona <br /> � <br /> Tenant MailAddress City State2ip p� <br /> E�CrEf�E'G�v�Y Pd R.. v )W/a MT Var,� � ( �1���� 't'2�-rnd� <br /> ontractor MatlAddress 3L0 <br /> ��Y SlatelL�p P� <br /> a� EL6 a 8 2 p �so�� <br /> State License Number <br /> Contract Prica of Work <br /> _ fl o w�+� <br /> Proposed Use of Buildir�g <br /> Descriptio� �(WorktoBeDone: _(J�p de"�t SC✓'Vi�C�G Qr�p� [;M-�� ,� �7Zf,p r <br /> � 1 � �. +, o„f/p} <br /> —1-��SI,P� dc�'l,� j' <br /> NOTE: PLP,NS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> MUST BE APPROVED BY THE STATE OF WASHi�lGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE <br /> STATE APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-1p0. <br /> NOTE: i/�IRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS. (MC AND AC ARE CABLES, NOT <br /> RACE WA'!S. . <br /> riANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> IVITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLF 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 RECEPTAC�ES 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. 3106(b)4 E 8 F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED 'lHIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROI'ISIONS OF LAWS qND ORDINANCES GG'/ERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR IJOT, <br /> THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE <br /> OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHOR2ED BY THE OWNER Of <br /> THIS PROPERTY TO PERFORM THE WORK FOR WMCH APPLICATlON IS MADE AND I COMALY WITH THE STATE CONTRACTORS LAW 18.27 <br /> RCW FND 296.200 WAC. <br /> �/__��� I�2 U�9 �} FEE ' <br /> i <br /> Signalur� � Dale <br /> ncupncviun� <br />