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APPLIC��ON FOR ELECTRICAL PFRMIT <br /> CITY OF EVERETT <br /> BWLDING DIVISION <br /> 3200 CEDAR STREET <br /> EVERETT. WA 98201 <br /> (425) 257-8810 <br /> ]50 ��l�//�p-� (�-' <br /> PROJECT AD�IRESS <br /> /�e,�r s� �r�.�� 3t�uS' /cx�� S�s =_ verc F� , �✓� 9�ao Y <br /> Owner Mail Address City Shle2ip phon� <br /> Tenant MatlAddress CRy St�te2ip phone <br /> G�re Fr��� ��a�� � ��� w ,c.,,�,�N��� w� g�.� y�s=»ss�� <br /> Electrical Contrador Meil Addrese Ciy State2ip plwna <br /> 6r%ebe��e'�[�"� �x, �'=— <br /> State License Number Contract Price of Work <br /> l��,d .S-�v✓� ce <br /> Proposed Use of uilding <br /> Description of Work to Be Done: /-e�,Q S��vl Q <br /> i <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•46-1p0. <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 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 WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALI 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 APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LA WS AND ORDINANLES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREfN OR NOT, <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 LA W REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY T{fE OWNER OF <br /> THIS PROPERTY TO PERFORM TN.E WORK FOR WH/CH APPLICATION IS MADE AND I COMPLY WITH THE STATE CONiRACTORS LA W 1Q.Y7 <br /> RCW AND 296100 WAC. <br /> FEE 2l/` <br /> .J J y�J <br /> SignaWre Dale <br /> 5 /� 7 / ncun■n�wn <br />