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i <br /> APPL. ATION FOR ELECTRICAL i RMIT <br /> CITY OF EVERETT <br /> BUILDING DIVISION <br /> 3200 CEDAR STREEi <br /> EVERcTT, WA 98201 <br /> � �.� 259-8810 <br /> � ��� } � � �; r <br /> PROJECT ADDRESS <br /> t�[ -'�Clti'G'l�`��C) ,C!C�rl,/�li1.� �`��C' ��`1s�1����`VC�i���',l �� <<<���� <br /> OWnB� MailAddress City Sto[e/Zp U�/��)/�/�/ii/j.phq�o�/.L� <br /> �T�J���r? �f� T —> , �S r � � ` � JT � �z�����«,� <br /> ,��c �f'�J'��C,� �1� �, S G '��.�T /�/),r/�lS 5�'���.� <br /> Tenant Meil Address cicy 5[n[efLp Phona <br /> ;����r��i��� ic��ci�6�a��� � `J`�'��`��� ����� , ����a ���s �`,�;t,,;�,�, <br /> =�• �� rc <br /> Electrical Contractor trteii address ciry scece2p Phone <br /> 't�C�C�� ��,C� S�c���'�c, <br /> Sta[e License Number Contract Price of Work <br /> ����'`�� �'`',T/�' S l l� <br /> Propased Use of Building <br /> Description of Work to Be Done: / ( ,( J ��� �� �Y ''� .Y ���� ����(_`���<L /�O i-.�lz'l"�u <br /> c�(,L./� .�11�1 �� G� %k���C� �C_%� /�t �i�Jl� l��i✓�-?-�� ;�— <br /> �L�'��T� C� TC�° , <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> MUST BE APPROVED BY THE STATE OF VVASHINGTON. ApPLICANTS WITH SUCFi 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 AND AC ARE CABLES, NOT <br /> RACEWAYS. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SIIALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE TFiE FLOOR. WAC 51-20 SEC. 31061c)2. <br /> ENVIRONMENTAL AND OTHER CON7ROL RECEPTAC(.ES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCcSSIBLE ROUTES OF TRAVEL SHALL BE V10UNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b��l E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> /HEREBY CERTIFY THA7/HAVE READ AND IXAMINED THlS APPLICATIO,Y AND KNOW THE SAME TD 8E TRUE AND CORRECT. ALL <br /> PROV/SIONS OF LAWS AND OROINANCES GOVfRN/NG TH/S TYPE OF WORrC W/CL BE COAIPLETED WHETHER SPEC/F/ED HERfIN OR NOT, <br /> THE GRANTING OFA PERMIT OOES NOT PRESUME TO GIVEAUTHORITY TO VIOLQTE OR CANCEL THE PROV/SIONS OFANY OTHER STATE <br /> OR LOCAL LAW REGULAT/NG CONSTRUCTfON OR THE PERFORMANCE OF C'ONSTRUCTIOM TNAT l AM AUTNORIZED BY THf OWNfR OF <br /> TH1S PROPERTY TO PERFORM THE WORK FOR WHlCH APPLlCATION 1S MADEAND�CuM11PLY W/TH THE STATE CONTRACTORS U7W 18.27 <br /> RCW AND 296.200 WAC. <br /> i <br /> � \� �, i! <br /> � � ��� <br /> �_ � i r , q / �J � FEE l�� <br /> � <br /> �� <br /> i i ,/ <br /> � Sipneturo �. Date <br /> . cifc.nrrcvensi <br /> _.. _._ .z� :. . ...._""�._ <br />.. . . --So,(i' '^`+ '. ::. . � , .r :., . � <br /> . . . � _ ... . , , . . .. .. <br /> ..,... .�. :. . ,.. .. . <br />