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APPI_ICATION FOR cLECTRICAL PER�VIIT <br /> CIiY OF EVERETT <br /> �UILDING DIVISION <br /> 3200 CEOAR STREET <br /> EVEF2ETT, WA 9N207 <br /> (425) 257-8870 <br /> ' ��,i-��•� �� ( s` `�� <br /> PROJECT ADDRE55 ��2�-35`�-�`t(`� <br /> � i-..1 `, ( c <br /> v e�,z�.. 1�-o� y I S .S 1 � :,�n-(-� A- ,�'i2�J � — <br /> Owner <br /> tdail AdCress City Stale2:p � '��e <br /> �ier z I� " ��1 s� •5-�- �i.in�l— (.�1A- �'iC.f yZi-33`l-l�llS� <br /> Tenant MailAddress City 91ale2ip Phone <br /> ..tcl;,. . �. � � .J u2,F i.b"' aK w. L r,1�^e.�.�2 �,3,T l`�4a�� L � — •o <br /> Eleclrical Cop ractor �dail Address Gty State2ip Fhone <br /> (=; � ;I�I �s aSb6FF � �^. ��� o <br /> State License Number Co�tract Price of Work <br /> �J <br /> ��� <br /> Proposed Use of Building <br /> 1 { � <br /> Descrip�ion ot Work to Be Done: <br /> (_ ' W �b (b� �'�1-�C � � , "ht���\ <br /> NOTE: PLANS FOR E!_ECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FAGLITIES <br /> STATE APPROVEOD PLANS BEFORE CITY OF EVER TT PERMIT WILL BE IS IUEDS WACJ296 46�1 OT SHO'•PJ TtiE <br /> NOTE: WIRING IN NON-DWELLINGS IS P,EQUIRED TO BE IN RACEWAYS. (MC AND AC ARE CABLES, NGT <br /> RACEWAYS. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMiNUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCES318LE ROUTES OF TRAVEL SHALL BC MOUNTED A MWID+tUhi <br /> OF 15 INCHES ABGVE THE FLOOP.. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPti1ENT WITHIN <br /> RA JGESI OF NJAC 51-20 R C�3N 6 b)4 E 8 F AND NOOT LESS THA� 36 NCHES ABO�VE THE F`LOORN THE R�ACH <br /> ! NC-R[�Y CERTIFY THA7 1 HAVE- READ AND EXAhi1NED THIS APPLICATION AND KNOW THE Snb1E TO B� TRUE AND CORRECT. ALL li <br /> FilOV1SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL 6E COMPLETED WNETHER SPEGFIED HERcIN l'°NO i^ <br /> TH"c GRANiING OF A PERhfIT DOES fJOT PRESUME TO GIVE AUTHORITY TO VIOLA7E OR CANCEL THE PROVISIONS OF ANY OTHc`P. STAic <br /> OR LOCAL LAIh'REGULATING CONSTRUCTION OR THE FERFOR7.1�1NCE OF CONSTRUCiION. THn'T I A�d AUTHORIZED 3Y THE Ob1'NE? GF <br /> i HIS PROPERTY TO PERFORht THE WORK FOR 4VH(CH APPLICATION IS MADE i.ND 1 C07dPLY WITH THE SiATE CONTRACTORS LAW 7827 <br /> FCIV n�'JD 296 200 WAC. <br /> `- � '� FEE <br /> C9 - �. ��� '� <br /> Sign ure Date <br /> —'� � , -;;�� =;r' <br /> `. , <br /> � � o�v:G,3,� <br /> —�' :_. . — — <br />