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APPLIC�'ION FOR ELECTRIC�r PERMIT <br /> CITY OF EVERETT <br /> BUILD/NG DIVISION <br /> 3200 CEDAR STREEr <br /> EVERE7T, WA 98201 <br /> (425)257-8810 <br /> /`T!�- C�.4�-� � .9-f� <br /> PROJECTADDRE�S <br /> 42s— <br /> G •-t�'dtl'ic� DI-.4.��5 � /c'i/¢ B.N�-65 /�/J . E1�.5.t�/f-TT lc7it- 982b/ 388 -4�9L� <br /> pwfle� Mail AdMss C Shte!!Jp Phaw <br /> Tenant Mail Address Ciry ShtelZip Plwm <br /> .��r �c fL��� q3// /esB�S�.— sE_, SAi�.t�t��isd a�,d�- 9G129G 360-668•- 4'L4L <br /> Electrical Contractor Ma�Addrcsa Ciy S4te21p Phom <br /> �c,�, 4's .f�t�.�� z93o Ci <br /> State License Number Contract Price of Work <br /> S�� <br /> Prapased Use of Building <br /> Description of Work ta Be Done: ! v.� /e .A-DO � T/D�/ ` �-��Gl� � j S <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 EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIUNS SYSTEM RECEPTACEES 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 57-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES 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& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISlONS OF L4 WS AND OROINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPEClFIED HEREIN OR NOT, <br /> THE GRANTING OF A PERMIT�OES NOT PRESUME TO GIVE AUTHORITY TO V10LATE OR CANCEL THE PROVlSIONS OFANY OTHER STATE <br /> OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE OWNER OF <br /> THIS PROPERTY TO PERFORM THE WORK FOR WHlCH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE CONTRACTORS LAW 18.27 <br /> RCW AND 296.200 WAC. <br /> ? FEE <br /> �l � .�%�.Pe�-�-�n1 R�Z D / <br /> Signalure Dale <br /> �DIO��' <br /> R[WI�N 1M11 <br />