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APPLICAT�^N FOR ELECTRICAL,^ERMIT <br /> C1TY OF EVE/tE7T <br /> BU/LD/NG DIV/S/ON <br /> 3200 CED,qft STREEr <br /> E1�ERE77; WA 98201 <br /> (425)257-8810 <br /> 3�f/� l�q,�„�- �/'� , �i�,� �,</a S�f�3 <br /> PROJECT ADDRESS � <br /> C�i.r�r2 �G �(///2F 3�/U3 /�%U�f/c rro �x�l/1 , l=v�-`� (N/� 9�Z 0.3 3�/�-S Sa�f <br /> �'�� Ma�7 Addresa Cily StateZp phw�e <br /> V R�i N�� Us TRo�n 3v�y G✓�r,L J�e /,v e���7i G�/A S��3 <br /> Tenant �q�nu Cfij Shte2ip pinne <br /> Jif vti n� f�uc c�AN <br /> Electrlpl Cantrattor Mail Address City ShtdZip Phone <br /> State License Number . Contrect Price af Work <br /> Proposed Use of Building <br /> / � J <br /> Description of Work to Be Done: �� '�pqyj7u.� �� <br /> C'o / �' ' <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 296-46-140. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <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. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE RE4CH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E 8 F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HERE9Y CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATlON AND KNOW THE SAME TO BE TRUE IINO CORRECT. ACL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS *YPE OF WORH WILL BE COMPLETED WNETHER SPECIf1ED HEREIN OR NOT, <br /> THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISlONS OF ANY OTNER STATE <br /> OR LOCAL L4W REGUL4TING CONSTRUCTION OR THE!'ERFORMANCE OF CONSTRUCTION. THAT i AM AUTHORIZED BY THE OWNER OF <br /> TNIS PROPERTY TO PERFORM THE WORK FOR WH/CH APPLICATION IS MADE AND 1 COMPLY WIiH TNE STATE CONTRACTORS LA W 19.Y7 <br /> RCW AND 296.200 WAC. <br /> r � <br /> �(�� cc�ce, 3� 9- �d� FEE 3� <br /> Signature Dale <br /> n`, , � <br /> --J 'J /' � llfC1J111lV IMI� <br />