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APPLICAT! ^N FOR ELECTRICAL -ERMIT <br /> cirv oF EvePerr <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> FVERETT, WA 98201 <br /> (425) 25?8810 � <br /> /'�/'/- ��c� X'e �/P l <br /> PRQJECT ADDRESS <br /> [ )��a/�7 fl�'l/���( /�ll i%�revE Fcr�a�C�� lr'i� ��D� <br /> Owner Mail Address City Stat�Zip Phone <br /> Tenant MailAddress City Slate2ip Phone <br /> (�i ,:�� T/ 1'�r, �1r�7 i 2 >7_7 fi�R'�� E��i�i�'�i�s� /i r5� 9S�'l.�� � 1 � <br /> Electrical antrector MailAddress City StatelZip Pha�e <br /> �-; �'l�,1I�'i"l%.�rC;;l / 7�'�`�`�� <br /> State License Number , Contract Price o(Werk <br /> ; I I�� <br /> Prapased Use af Building <br /> � r ! <br /> Descnption af Work to Be Done: /� f' �J�?'/"�/. �������>��i %��'.�� <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 APPRCVED 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 ACCESSIBILITY: 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. <br /> ENVIRONMEN7AL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOI;��TED 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 /> ! h'EnEBY CER7lrY THA7 f HAVE RF�iD AND EXAMINED THIS APPUCAilON AND KNOW rHE SAME TO BE TRUE AND CORRECL ALL <br /> r'ROVlSICNS OF LAWS AND ORDl,VANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPEClFlED HEREIN OR NOr <br /> 7HL-GR.7Ni ING OF A PERMIT DOES NOT PRESUM1fE TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISfONS OF ANY OrNER STATE <br /> OR LOCAL LAW REGUTAT/NC; CONSTRUCTION OR THE PERFORhfANCE OF CONSTRUCTION. THAT I AM AUTHOR/ZED 8Y THE O WNER OF <br /> Th'IS PROPERTY TO PERFORhf THE WORK FOR WH/CH APPCICATION IS MADE AND 1 COMPLY WITH THE STATE CON7RACTORS IAW 1811 <br /> RCW AND 296200 WAC, <br /> , � ` � � ��' _� ao <br /> , � > <br /> , ! . ��/,_� �� FEE ` S <br /> .J <br /> Signature Date <br /> ��G�i 3 <br /> EIEWI�F�'tp9�1 <br />