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APPLICAT� �N FOR ELECTRICAL,,ERMIT <br />cm oF eveRerr <br />BUfLDfNG OIVISION <br />3200 CEDAR STREET <br />EVERETr WA 98201 <br />(425) 257-8810 <br />Tenant <br />iy <br />Mail Address <br />Maii Address <br />f� .vC/G'S OS-� /�c� <br />State License Number • <br />F. �� <br />Preposed Use af Building <br />Description of Work to 8e Done: <br />City <br />City <br />� .t�7S <br />��..J <br />��/ <br />> > <br />3G0�� %/3�C <br />SWte2ip Phme <br />SlatelZip Phone <br />��/ �'.F�['i� �/.�t�s'Si�% <br />City State2p Phone <br />� <br />/,Tl� 0 <br />Contrect Price of Work <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 APPROVED PLANS BEFORE CITY OF EVEF.ETT PERMIT WILL BE ISSUED. WAC 296-46-140. <br />NOTE: WIRING IN P�ON-DWELLINGS IS REQUIRED �'O BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALI_S <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 />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />RANGES OF WAC SE 20 SEC.�N06(b)4 E& F AND NOT LESS THAN 36 WCHES A O�E THE F1LOORN THE REACH <br />1 HEREBY CERTIFY THAT 1 HAVE READ AND E?CAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND COftftECT. ALL <br />PROVISIONS OF LA WS AND ORD/NANCES GOVERN/NG THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR NOT, <br />THE GRANT/NG OF A PERM/T DOES NOT PRESUME TO GIVE AUTHORITY TO VIOL4TE 0.4 CANCEL THE PROVISIONS OF ANY OTHER STATE <br />OR LOCAL LAW REGULQTING CONSTRUCTION Oft THE PERFORMANCE OF LONSTRUCTIOPJ. THAT I AM AUTHORIZED 8Y THE O WNER OF <br />THIS PROPERTY TO PERfORM THE WORK FOR WH1CH APPUCATION IS MADE AND 1 COMPLY WITH THE STATE CONTR4CTORS LAW 1 B•27 <br />RCW AND 296.200 WAC, <br />� I ' <br />��� <br />Signature , ._ _ <br />- — --- � <br />—" , <br />�—� <br />�- <br />% _i <br />_ <br />'/'_��_ _ %�� <br />Date <br />s��3 S <br />FEE <br />ELFWIREV fOs)1 <br />