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APPLICA► �N FOR ELECTRICAL 'ERMIT <br /> CITY OF EVERETT <br /> BUlLDING DIVISlON <br /> 3200 CEDAR STREET <br /> E-VERETT, WA 98201 <br /> (425) 257-8810 <br /> �-7 2 � (J,- lC��,-T <br /> PROJECT ADDRESS� <br /> / / . � ����P � ���>lf' <br /> Owner <br /> Mail Address CRy StatelZip Phone <br /> SlatelLip Phone <br /> Tenant Mail Address �'h y23— J%/— 3"'9''Jj <br /> l 1���,�i /S� ���t' l��ii/ 1Ji7i �ivy�9�%� /1�7 /`/��»...�y.�s' i/f�99/��� Pnone <br /> Mail Address Ciry SlalelLp <br /> Electrical Contractor � �G <br /> �'� UF� 1 � 1� � � 5—/�� _ / s�i <br /> State License Number . Contract Price of Work <br /> /���rr C' - <br /> Prcposed Use af Building <br /> Descriplion af Work to Be Done: ��' �1 C f/� l��� � � � �� �� �� � �/ � <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIGNAL OR HEALTH CARE FACILITIES <br /> STATE APPROVED PLANS BEFORE CETY OF EVE ETT PERM T WILL BE ISSIUED. WAC 96 46-14pT SHOW THE <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND CONMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> FT 5' N HES ABOVE THE FLO RA WAC 1 20 SECB3 O6(c)2.ES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> ENVIRONMENTAL AND OTHER CONTRUL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> RANGES OF WAC SE 20 SEC.SN 6(b)4 E& F AND NOT LE9 THAN 36 WCHES ABO�VE THE FLOORN THE REACH <br /> PROV S ONS OF'U1 W5 AND ORDINANCES GOVERNIN'GEDH SHTYPE OF WORK WILL�E C�OMPLETED WHETHER SPECIF/ED HE E�N OR NOT, <br /> OR LOCAL TLA W REGULAT�lNG�ONS7RUC TON ORETHE PERFORNAONCE OF CONST�RU�C�IONN THAT�AM A�UVTHORIZED 8Y TF E OWNER OF <br /> THIS PROPER7Y TO PERFORM THE WORK FOR NMICH APPLICATlON IS MADE AND 1 COMPLY W1iH THE STATE CONTRACTORS LAW 18.27 <br /> RCW AND 296.200 WAC. <br /> � � � —' �� FEE <br /> L-- - /� r � � `� U <br /> Signature Dale <br /> EIEGPInNib9>� <br />