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APPI_ ..'ATION FOR �LECTRICAL _ iR112IT <br /> CITY OF EVERET'f <br /> SUILDING DIVISION <br /> 3200 CEDAR STRELT <br /> EVERETT, WA 98201 <br /> - _ • 259-881 G1 <br /> �A I I �i ome5 �J(� ��hrrna ti�1d�. Z���or� �e��.�l� �r-� �-D�J�G (zr.�)�Zd��3�iv <br /> Owner Mail Address • <br /> Ciry Stata/Zip Phone <br /> Tenant Iv!ail Address <br /> City Sl�te/Zip Phone <br /> �_ �-- _ <br /> c , �/ <br /> � v �I��cc� z lkc•l`�t� ._i nC 1 �u� <br /> Electrical Contractor Mail Address City S�:ue/Zip Phone Stata LicenseNo. <br /> ��J i� ��. UU � 1 ( ' � � <br /> —1 �w-� �� 'tcLti.-� ��. i �C� `�,���-L,- � <br /> Contract Price of Work Proposed Use of➢' �— ���ins r — <br /> � �2 �I I s+ �Ir � � - <br /> � ���re�e��L"��. <br /> ProjectAr' •ess ("ieuelc:✓�l�l�� , <br /> Description of 1Vork to Be Done: i` , v > " !UL' A w.�J ` )UY �l� ��' -i l i ��:vC��r a� <br /> � <br /> NOTE:WAC 296-46-140 REQUfRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTfONAL <br /> OR HEALTH CARE FACILITIES BE APPROV�D BY THE STATE OF Wi�SHINGTON. APPLICANTS WITH SUCH <br /> JOBS MUST SHOVJ THE STATE APPROVED PLANS BEFORE CITY OF EV[RET P�RMIT WILL BE ISSUED. <br /> NOTE:V1�RIldG �PJ hCN.-.^J:e'EL�I^:GS IS ^nE:�IiIPEC TO BE !�v M1"ETALLI� ^„CE'TJAYS 1MC :-.aJD ;�C, �nE C:.QL6S, I <br /> NOT RACEWAYS), <br /> IIANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALnNG ACCESSIDLE ROUTLS OF TRAVEL SHALL �E MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. <br /> ENVIRONMENTAL AND O7HER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF TNE 1991 u.[3,C. SEC. 3106;b�4 AND NOT LESS THAN 3G INCHES ABOVE THE FLOOR. <br /> I HERERY CERTIFY THAT I NAVE READ AND EXANiNED THIS APPLICATION AfJD KNOW THE SAME TO BE TRUE <br /> AND GORRECT. ALL PROVISIOPJS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF 'v^,�ORK WILL BE <br /> COMPLETED WITH WHETHER �PECIFIED HEREI�' OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GIVE AUTHORITY TO VIOLATE Ofl CAivC�:L T1-IE PROVISIONS OF ANY OThiER STAT[ OR LOCAL LAW <br /> REGULATING CONS'fRUCTION OR THE PERFORb1AiVCE OF CONSTRUCTION. THlT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFOflM TH[ WORK fOR W{iICH APPLICATION IS MADE AND I COMPLY <br /> WIl'H THE STATE CONTRACTURS LAW 10.�7 FC,vJ i�iJu 29o^.20G �Jr„^„ <br /> X i <br /> � F.� ��/� GC� <br /> �^ � �l � �/�� l�� gee '�" �J�.� <br /> _ �. <br /> S�gnature Date <br /> j��� / elcapP(!k4/94) <br /> r'0. • <br /> _, , .ti.__.:.. ,,..._- n, . :.._ _. . <br /> -. . ... .. . . . . . ..... . .. � .. _ '.;y. i.� ... .L;L: -��:..-- .�.�_..i ..-. -. :� . � ... . �`. ... <br /> . � 'r'wa. h � qaa'.i. Y r�. .'�����i�La. _ <br /> __ � . . F-!ew .. r . .•..y++�Y,u ..rw�:lY. . �.T""""N .'t.�. I�:�� <br />