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APPLICATION FOR ELECTRICAL PERNIIT <br /> C1TY OF EVERETT � "{ LS l7 LS O �'/ � <br /> BUII.DING DIVISION D <br /> 3200 CEDAR STREET J LI <br /> EVERETT,WA 98201 A PR 2 4 1996 <br /> ................................ . . . . . . 259-8810 <br /> a �,� � ��� k e �,_ I I e �- ,r�� e CITY OF EVERETT ' <br /> `"` � Publ(c Warks Dept. <br /> PROJECT ADDRESS /� n <br /> � �� ���;�6c� �1�tr��c� lU.�,��o /<t�i�- 39�-'' � 7')b ) <br /> t�r����. �--A � <br /> g�� Mail Addmss ��,Q�� ��'27��q' � State/Z�p Phone <br /> c�z,��.,�,�,- as�'S��9 <br /> Tenant Mail Address City StatelZip ���cn�Gho77 Q� <br /> �(�v�on�S �lac�-r 2 IS51(o7 t�4'/�.�1 ¢c/��,�aac�S t.i/�- 9a�t(o 77S�-7s'3� <br /> Electrical Contractor Mail Address Ciry State/Zip Pho¢e State LicenseNo. <br /> C)LLf�l il � 1-Or -V�.li�lP.� <br /> Contract Price of Work Pr000sul Use o�ilding <br /> Description of Work to Be Done: �I-O��� �� � �'��^�-�� C- ������� � �� �� � <br /> ` �q �LIS �l ��l.t � �h '�� �- <br /> C ��-,�� -�+ b z9� 9� _ <br /> � <br /> NOTE:WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL <br /> OR HEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH <br /> JOBS MUST SHOW THE STATE APPROVED PLANS BEFORE C!TY OF EVERET PERMIT WILL EE ISSUED. <br /> NO7E:WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYSI. <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 75 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3706(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMEN � WiTHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF 'iRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 31061b)4 E&F AND NOT LESS THAN 36 INCHES ABOVE THE F100R. <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br /> r.ND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL 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 Ol'HER STATE OR LOCAL LAVJ <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WH�=:i APPLICATION IS MADE AND I COMPLY <br /> WITH THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X ' —G—_ . <br /> -Z?- F� 3=� <br /> i ature Date <br /> elecaPP(I1L7194) <br />