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APPLICATr�N FOR ELECTRICAL ''ERMIT <br /> . i <br /> CITY OF EVERETT ` <br /> BUfCD/NG DIVISION I t <br /> 3200 CEOAR STREET <br /> EVERETT, WA 98201 . <br /> (425) 257-8810 ' <br /> �8'O .Z GU�f m v�e s f�E . EuE�FE f� C��i. -S�,:t� So 0 <br /> PROJECT ADDRESS <br /> �� v �•�r f�4.�� C/S/V �0 2 l�/Efnoat /9v� c'� •fe So�� ..'.�E,ea t�'l�/r� y3t.ro�3si8 <br /> S y�.,S �� �, sm.rup Pnn,. <br /> Qwner <br /> s,,,�s � � � �T� Z�3l l,c�e�r�OV � y.Zs-30�/• �l039 <br /> Tenant <br /> MfiAddr�ss Cdy SlatdIIP Ptiar <br /> PR�c�B �fcr�P�G 3 I�� �SU� /�Jt �T 12P �M�, 1 � I� ���52 ��u P��6f+ :; <br /> Electrical Cantractor <br /> Ma0 AdEnss Ciry Stat✓LP <br /> � � <br /> n.. � _ _ ' � 1'f nn ' <br /> Con rect Price of Wotk <br /> Stat�Licensa Number • <br /> Gfsr✓ of<��� — <br /> ?roposed Use af Building <br /> Oescription af Wark to Be Gone: iE�✓ yS l�U A� rR/FN s A�� �5�''^'� D'j'�'� <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES II <br /> STA E APPROVED PLANS BEFORE .CEITY�F EVERETf P 4M T WILL ESISSUEDS WAC Y96-48M-US�T SHOW THE <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL <br /> AND COMMUNICATIONS SYS7EM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBIE ROUTES OF TRAVEL SiiP.LL BE MOUNTED A MINIMU <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> cNVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT W�111N <br /> RANGES O�F WAC 5E 20 SEC.9N 8(h)4 E 3 P AND NOT LESS THAN 38 NCHES A OVE TFIEDF�OORN mE REACH <br /> PROVI9BON5�0'U 5 AND ORDIN NCES GOVERfJING THIS TYPE OFCWORK YVILL BE COMPLETED WHTEI7�ER SPEGFlED HERON OR NOT, <br /> pRE O�L4N/REGULATING CONS7RUCTRON OR THE PERFO ANCE Of CONSTRUCTION. TtlA�AM AUTNORIZED BY TNE OWNER a <br /> RC/W AND 296.00 y�VACRFORM TNE WORK FOR WHICN APPfJCAT10N IS MAOE AND I COMPLY WI17'�THE SfATE COMRACTORS LAW 1e.2� <br /> V�+c� �,�'_� ��'�.�,� FEE /�n /O <br /> � � Date � <br /> Signature� � ���AD <br /> ner+�n u+n <br />