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APPLIC� " TION FOR ELECTRICAL P'" `MIT <br /> CITY OF EVERE'TT <br /> BUILDING DIVISION <br /> 3200 CEDAR STREE�' <br /> EVERETT, WA 98201 <br /> 259-8810 <br /> � �JS S I�a� �.,L <br /> PROJECT ADDRESS <br /> �1 L L O S i 2A,P (�j�� � <br /> Ownef Med Addmaa City � � Sute2p Phone <br /> Tenant Mail Address City SteteZp Phone <br /> �,J.�.�i� t=�� �c � �,�trc �/1�0 6(k w vti�.�i l✓A SS- 3 � 2�L b'%�X <br /> Electncal Contractar Ma�l Addmss Ci[y 5tace2p Phona <br /> �a) J� 7rr5 ( 2 � J + <br /> State License Number Contract Price of Work <br /> W� P��S��+.�� ��— <br /> Proposed Use o( Bwlding <br /> Description of Work to Be Done: ,.y JJ� � R�C � U� Fl �,ti> l,�✓i � ` �- <br /> L� �Z� G-/�,'t��,� <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 BEFOFE CITY OF EVERETf PERMIT WILL BE ISSUED. WAC 296-46-140. <br /> NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO Bc IN RACEWAYS, iMC AND AC ARE CABLES, NOT <br /> RACEWAYS. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITtiIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALI BE MOUNTED A MINIMUM <br /> OF 75 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 31061c12. <br /> ENVIRONMENTAL AND OTfiER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT NJITHIN <br /> ACCESSIBLE SPACES OR ALOfdG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106�b�4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> l h:�REf?Y CER7lFy 7HA7/NAVE F[AD AND EXAM,NfD THIS AVPC/CAT/ON ANO KNOW THE SAME TO Bf TRUE AND CORRECT. A[C <br /> PRO.'/S/O,VS OF L1 W5 AND ORO/NANCES GOVfRK/NG 7H/S TYPE OF WORK W/LL BE COMPLETfD 11HEfHER SPEGFlED HEREIN OR NOr <br /> 7Nf. GR.7N7/NG OFA PERhIIr DOES NOT PRESUA1f TO G/VE AU7HOA/7Y TO VIOLATE OR CANCEL THf PROVIS/UNS OFANY OTHER STATf <br /> OR LOCAC IALY REGULATIN('i CONSTRi/CT/ON OR TNE PEHFORM1W NCE Of CONSTRUCT/ON. THAT l AM AUTHOR/ZED HY THE OWNER Of <br /> THIS PROPERTY TO FERFOR,N THE bYORK FOR WHlCH APPL/CATION lS,NADEAND l COhlPLY WITH THE STATf CONTRACTORS L4W 18.27 <br /> RCIVA,YD ��,?OO�WqC. <br /> (/ � v� � I <br /> ; _1/U �.�---- <br /> " FEE <br /> Si6n�turo Dalo <br /> � . [16Y1nrylA11 <br />