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APPLIC�ION FOR ELECTRICAL P�RMIT <br /> CITY OF EVERETT ` <br /> BUILDING DlVlSION <br /> 3200 CEDAR STREET <br /> EVERETT, WA 98201 <br /> (425) 257-8810 <br /> //�/� /y.li.,g{�� � S r �.��-�� <br /> PROJEC�ESS � <br /> � /�� ' S�5/f�cJ R�?L�`( – �02�0� .���i�!/� � ���- Gv�- ���3-77S=o0 3S <br /> nef Mail A dress Cily Slale2ip Phone <br /> � � <br /> Tenant MailAddress Cdy Statc2ip Phone <br /> C3c,�,�E�_ �a9e�s - 3�''� ,��� /yl�� r,✓/t- �d�o �13 �,�ao3,5— <br /> Elect�ical Conl�actor Mail Address Cily Slale2ip Phone <br /> State License Number Contract Price of Work <br /> Proposed Use of Building <br /> Description ot Work lo Be Done: 110 Q(�}j��' �1/lC� /O �� ,Q.�� ^ /('lr,�/Odr �iST.i/� <br /> / � /� �J � '! <br /> ICAIOH i �JBe L/!{`�tJR � ✓56t1» /!PL/I�� }fftiSP_ <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 296-46-1�10. <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 CF 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 OPERABIE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE RnUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> R,4NGES OF WAC 51-20 SEC. 3106(b)4 E 8 F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> ! HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOIV THE SAME TO 8E TRUE AND CORRECT. ALL <br /> PROVISIONS OF LA WS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL 8E COMPLETED WHEiHER SPECIFIED HEREIN OR NOT, <br /> THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISlONS OF ANY OTHER STATE <br /> OR LOCAL LAW REGULAi1NG CONSTRUCTION Oft THE PERFORMANCE OF CONSTRUCTION. iHAT 1 AM AUTHORIZED BY iHE OWNER OF <br /> THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY W1TH THE SiATE CONTRACTORS LAW 78.27 <br /> RL W AND 296.200 WAC. <br /> - � �� � FEE <br /> / Sigmlure ale <br />,, � 73 70 �.«�E�,�,,, <br />� <br />