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� <br /> ^., <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF FVEREIT <br /> BUILDINCi DNISION <br /> 3200 CED,UtSTRE6T <br /> fiVERETT,WA 98201 <br /> �,�A. 259-6810 <br /> _{��� �^�D/l /li�� .Y' EI(, <br /> / h U�IP! T �} 982o i <br /> O�.mer Ma�l Address Ciry Sute/Zip py� <br /> / ,. / 7 / //J i-Yl i � /.1//�'9 tze/ <br /> • Tenant Matl Addrese <br /> Ciry SmtelZiP pyoa <br /> 9r�i 3�sT A�t SE. <br /> AL�iS/A Y-oMEr_w t.�.r FacE� �.? 4wv.�lX Ss7 dmG A[.�i��lts2oq't <br /> Elxtncal Contnctor Mail Addrcss Crty Smte/Zip Phone Sbte uc�sepo. <br /> �1�-�- /�fov(iZ <br /> Contrut Price of Work Proposed Use of Building <br /> �� i 7 2uvcf r� <br /> Project Addresa <br /> Description of Worlc to Be Done� w.sn ii r 1 or� A .�,I rs Tk K U P '� F% <br /> NOTE:WAC 296-A6•140 REQUIRES 1'HAT FLANS FOR ELECTRICAL WORK AT EDUCATIONAI, INSTITUTIONAL <br /> OR HEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH <br /> JUBS MUST SHOW THE STATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT WILL BE ISSUED. <br /> NOTE:WIpING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS IMC 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 SNALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE E�UIPMENT WITHIN <br /> ACCESSIBLE SPACE:� OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF THE 199� u.B.C. SEC. 3106(b)4 AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br /> AND CORRECT. ALL PF`OVISIONS� OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br /> COMPLETED WITH WHE;HER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TCi GIVE AUTHORITY TG VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> R:GULATING CONSTRUCT!ON OR THE PERFORMANCE OF CONSTFUCTION. THAT I AM AUTHORIZED BY Thle <br /> O.NNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPL'CATION IS MADE ANO I COMPLY <br /> WITH THE STATE CONTRACTORS lAW 18.27 RCW AND 296.200 WAC. <br /> X ~ <br /> �.s� � G -- �y �/ F� p�s _ <br /> Signature Date <br /> c.��0�-S <br /> �i«.FF c�n4roa� <br />