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APPLIC� 'ION FOR ELECTRIC�(, . PERMIT <br /> C/TY OF EVERE7T <br /> BUttD/NG�lV/S/0N <br /> 3200 CEDAR STREET <br /> EVERETT, WA 9B201 <br /> (425)257-88f0 <br /> �i22 „�ra,er ,a-v <br /> PROJECT ADDRESS <br /> tZs- <br /> Jl �� A-�Ulo/�LL �/ZZ s�o,P.� dU .,ar�a*,c�TT Cc�,� 9B2o3 7/0- 9, 77 <br /> Owner Mau qaama cny sm�2�p pnaw <br /> Tenant M�AAddress Cily Shte2ip PhaN <br /> �2[GS � L�G 93/i /B$� 3bb <br /> 5T ,s6_ sNbNon�sro �A 9P-296 �6B—4z44. <br /> Electrical Contrador Mail ACdrcss Ctty Shte2ip Plane <br /> F<2lGS F �?369 G/QGV /TS <br /> State Licanse Number Contract Price of Work <br /> 5�,� <br /> Proposed Use af Building <br /> Description of Work tc Be Done: /��� � i ,c� �� �O 2 FS�.L — i�T!L /7–y <br /> .��mm/ Tln .v /(L1�,�1f FDR_ s�,f <br /> tJOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> Mi1ST BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE <br /> STf\TE APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 298-46-140. <br /> NOTc: Wln:,�'�l IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HA�!DICAPPFJ ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACEES ON WALLS <br /> WlThfi^! nCCESSIBLE 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 ANG OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLe SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> R,4NGES OF WAC 51-20 SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> 1 HEREBY CERTIFY 7HAT 1 HAVE READ AND EXAMINED iH15 APPLlCATiON AND KNOW tHE SAME t0 BE TRUE AND CORRECT. ALL <br /> PROVIS;ONS OF L4 WS AND ORDINANCES GOVERN/N6 THIS 7YPE OF WORK WILL BE COMPLETED WHETHER SPECIFlED HEREIN OR NOT, <br /> THE GRANTING OF A PERMIT DOES N07 PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE <br /> OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE OWNER OF <br /> THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICA710N IS MADE AND 1 COMP6Y WITH THE STATE CONTRACTORS LA W 7l.Y7 <br /> RCW AND 496.200 WAC. <br /> � • FEE 5 S- � O <br /> �_ z� �:�. �� <br /> Signature Date <br /> �`�ro �/l3 <br /> lIFCNI�lV fM11 <br />