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APPLIC�ION FOR ELECTRIC� PERMIT <br />CiTY OF EVERER' <br />BUfLDING OIVISION <br />3200 CEDAR STREET <br />�/ERETf, WA 9B201 <br />{425) 257-8810 <br />� Q( D <br />ADDRE33 <br />C���I,.7Y1' ,�j.' <br />Tenant <br />State �icense Number <br />i7rn�_rr �r. r1 <br />Mail Addross <br />Mail Address <br />���n <br />� <br />Se��.lLt_.T �j6:M I �9 S! ��/�f!°�� <br />Proposed Use of Buiiding <br />Deseription f Work to Be Done: <br />_- Gt, <br />City <br />Ciry <br />City <br />%���,� <br />� � y� <br />/_�i;-�9o-�� <br />StatelLp <br />roo� <br />ConVaci Price of Work <br />Pham <br />Phont <br />= 33�{- <br />Plion� <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL. INSTITUTIONAL OR HEALTH CARE FACILITIES <br />MUST BE APPROVED BY THE Sl'.4TF OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE <br />STATE APPROVED PLANS BEFORE CI lY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO 4c IN RACEWAYS, MC OR AC CABLE. <br />HANDIC.APPED ACCESSIBILITY: EL'eCTRICAL P.�JO COMMUNICA710NS SYSTEM RECEPTACLES ON WALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES O�' TRAVEL SHAIL BE MOUNTED A M!NIMUM <br />OF 15 INCHFS AQOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br />ENVIRONMENTAL AND OTHER CONTROI RECEPTACLES ANO OTFiER OPERAB_E EQUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRf '=L SH�LL BE MOUNTED WITHIN THE REACH <br />FtANGES OF WAC 51-20 SEC. 3106(b)4 E 8 F ANO NOT LESS THA�. 16 INCHES ABOVE THE FLOOR. <br />! NERE9Y CERTlFY THAT 1 <br />PROVISIONS OF L4 WS AND <br />THE GrZANT7NG OF A PERM <br />THi5 PROPERTY 70 PEl <br />RCW AND 296.200 WAC. <br />Signature <br />SAME TO BE TPUE A1V0 CORRECT. ALL <br />.� .....�........_ ...._ ._ . __...._.. <br />;OVERNING THIS TYPE OF WORK WICL BE COMPLETED WHETHER SPECIFIED HERFJN OR N <br />iESUME TO GIVE AUTNCRITY TO VIOLATE OR CANCEL THE PROVIS/ONS OF ANY OTHER STATE <br />ION OR TNE PERFORMANGE OF CONSTRUCT70N. THAT 1 AM AUTHORIZED 8Y TNE OWNER OF <br />FOR WHICN APPLICATfON IS MADE AND 1 COMPLY WITH THE 57ATc CONTR4CiORS L4W 18.27 <br />FEE 3S'� <br />Date <br />�,��'D� <br />n«.�,�„ <br />