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APPLICATj �N FOR ELECTRICAL� 'ERMIT <br /> ClTY OF EVERETT <br /> BUILD/NG DIVlS/ON <br /> 3200 CEDAR STREET <br /> EVERETT, WA 98201 <br /> (425J 257-8810 <br /> ^ � . <br /> .` li�f7 ,���f5/ <br /> PROJECT ADDRESS <br /> �-�f- �' C�'—�`��(�/4�� �1J� 1— � `I�ZS=3S'7-5'SO.S <br /> Owner � MailAddress Ctty SUtNZip Phone <br /> Tenant MaA Address City S�«F Ph0^� <br /> F]�S ��CCi 171�0 ry �F� ��o� RP, A�,C�,c>G�-�i,�. 9�h'��.3 360�4JS-i3-�Y <br /> EledricalCantrador MailAddress Cdy ShtelZip Phone <br /> i��5 � �.� v y/o3 � �.5or�� <br /> State License Number . Contract Price of ork <br /> S�� <br /> Propased Use of Building <br /> Descriptian of Work to Be�one: L k,�4,v�' ,.�P lh'�/�C� r/�� ��°c✓ �0 C-1r�j/G'�`—" ��'/ � <br /> ,C�'C'LC/ l� (� (�< -'r/0�-- <br /> I <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES i <br /> MUST BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE <br /> STATE APPROVED PLANS BEFORE CI7Y 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 8E MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> RANGES OF WAC SE 20 SE L�3N 6(b)4 E 8 F AND NOT LESS THAN 36 NCHES ABO�E THE F�LOORN THE REACH <br /> f HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED TNIS APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECi. Au- <br /> PROVIS/ONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFlED HERE/N OR NOT, <br /> THE GR.4Ni iNG OF A PERMIr DOES NOT PRESUME 70 GIVE AUiHORITY TO VfOG1TE OR CANCEL THE PROVISIONS OF ANY OTHER STATE <br /> �HIS PROPER]l'OGPERfORM THE WORK FOR WHICH APPLICAT10NC5 MADE AND 1 COMPLY WITH'7HE 57ATE CONTRACTORS!AW�B 27 <br /> RCW AND 296.200 WAC. <br /> � ����� ������ �,� FEE <br /> Signature Da�e <br /> ��� ��, [LEG%�N�09>I <br />