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APPLICAT� N FOR ELECTRICAL��ERMIT <br /> cm oF�Rerr � <br /> BUILD/NG O/V/SION <br /> 3200 CEDAR STREEr <br /> EYERETT, WA 98201 I <br /> (425)257-8810 . <br /> 3�01 Sh�x� ��� <br /> PROJECT ADDRESS <br /> �-lot�.e� Q��-��- �ylP� ��'t�,,�a.� lkC'�9 .�A��� L� �1�a_ 3�-C�d9a3v� <br /> Ownef MailAddresa Ctly Shta/9P Phorn I <br /> i '� �I <br /> I ,�C�a�,� n � o�- �o�� ��, ) uS�cc�-_ �'�� 7a3o / d�� •O '� �7 <br /> Tenant MaAAddrcss City State2ip p� <br /> J6 C-1V�W�M 1_I�lfm � �cCXti ��(� �U�Y Li� l�a l���t�3y� <br /> EleMncalContraCtor MapAddresa Cily State(Lp phone <br /> �\C�lb2 �1�t �� <br /> State License Number , Contract Price of Work <br /> \�nS�. <br /> Propased Use of Building <br /> Descriptian of Work ta Be Done: ��` c� ��bp ��}pi� <br /> �\ <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 ACCESSIBILI7Y: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM � <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. i <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITF;IN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> i NEREBY CERTIFY THAT f HAVE REAO AND IXAMINED THIS APPIJCATION AND KNO W THE SAME TO BE TRUE ANO CORRECT. All <br /> PRGYISIONS Of LAWS AND OROINANCES GOVERNING THIS TYPE OF WORX WILL BE COMPLETED WNETHER SPECIFIED HEREIN OR NOT; I <br /> THE G.4A�VTING OF A PERMIT OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVlSIONS OF ANY OTHER STATE <br /> OR LOCAL LaW REGULATING CONSTRUCTlON OR THE PERFORMANCE OF CONSTRUCTION. THAr I AM AUTNORIZED BY THE OWNER OF <br /> TlilS PROPER7l'TO PERFORM THE WORK FOR WHICH APPUCAT�ON IS MADE AND 1 COMPLY IMTH THE STATE CONTRACTORS UIW 18.:7 <br /> RCW AND 296.100'i/AC, � <br /> � FEE � I <br /> �,� ��► �o�� � -s=�8 ,S � <br /> SignaNre Dale � <br /> ��'�� E�E��r,�„ <br />