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APPLIC�ON FOR ELECTRICAL�'ERMIT <br /> cm oF�Rerr <br /> eur�n►nio av�sro►u <br /> azoo c�a srR�r <br /> EVERE7T, WA YB201 <br /> (42� 257-8810 <br /> l0 / 3 /�c�o ,F v f9v�c <br /> PROJECT ADDRESS <br /> /!�`c�l ko/`Li /C�/3 ✓�dc,Ec' />�� ������� (.� ��aol �.1'l-/S%� <br /> ownK ►�r�ee�... c�y s� ru°" <br /> T�nmt M�NAddrass CMy StaWZp � <br /> �'o�.CS.oi�.�j ��oJ�• J.c ��G6� ,�' �7 �r/.�rJd� /_.r'. ci��d7 ?td—�1.�5��'S /3 <br /> Eleckical Contredor M�a naaresa � CMy ' suta2ip . P1�a� <br /> �f'o F�E.s O� 7�-.a <br /> Shte Licensa Number . Controd Price of Work <br /> � <br /> �l •G/r.e c �� <br /> Proposad Use of Building <br /> Description of Work to Be Done: ,`/N l�r � / �J .r -� G � hi'u, ��� <br /> -✓�]LC f <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL Ofi HEALTH CARE FACILITIES <br /> MUST BE APPROVED BY THE STATE OF WASHING70N. APPLICANTS WITH SUr:H JOBS MUST SHOW 7HE <br /> STATE APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUEO. 'NAC 298-46-740. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABIE. <br /> HANDICAPPED ACCESSIF3ILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACIES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLF ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLCOR. WAC 51-20 SEC. 3108(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES ANC OTKER C?ERABLE EQUiPMENT WITHIN <br /> RANGES OF WAC SE 20 SEC.SN08()4 E 6SF AND NOT LESS THAN 38 N HES A O�E THE F OORN THE REACH <br /> 1 HEREBY CERTlFY THAT I HAVE READ AND EXAMINED THIS APPUCAl10N AND KNOW THE SAME TO BE TRUE AND CORRECi. ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING 1'HIS TYPE Of WORK WILL BE COMPLETEO WHETHER SPECIHEJ HEREIN OR NOT, <br /> THE GRANTING OF A PERMIT DOES NOT PRESUME TO GNE AUTHORITY TO VIOLATE OR CANCEL THE PRONSIONS OF ANY OTHER STATE <br /> THIS PRCPERTY OGPERFORM THE WORK FOR WHICH APPLICATIONCS MADE AND 1 COMPLY WITH THE STATE CON�RAC ORS U WE iQ.27 <br /> RCWAND 296.Y00 WAC. <br /> � /%�"r.%�'�- / '" /8 -G 1 FEE s�o_. <br /> Signature Date <br /> nar�n�u�n <br />