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APPLICATION FOR ELECTRICAL P,�RMIT <br /> ciTv oF eveRFr-r <br /> BUILDING DIVISION 5:;;-.`'" <br /> .-r <br /> 3200 CEDAR STREET ' <br /> E1/ERETT, WA 98201 �'"��'iie <br /> .:.i�'°� <br /> ::a: <br /> ��i'l0 �S� /�i,� C,� �f 5YT 259-8810 ��;::,.� <br /> iiY 1: <br /> nv�c�,l quoHESS -`+�=`r"' <br /> � <br /> ��i. <br /> G�LX�N�rtaL�G� ��/�'�/1c-4�..�t7� ��PG�� � <br /> Owner i ���le.'U iP Gy����3 "k'� , <br /> Mad Addrese Cfty Stete2 ' ...;','.s r . <br /> P Phone �.,,� <br /> "."at <br /> �:r.i. <br /> Tenant Meii Address � � �%��;�° <br /> ��•Y State2 `� �� <br /> � .---- P Phone .. .'';�i. <br /> —���� ' � �-i�4+_ <br /> Electtical Contractor �"<�,' <br /> _—. MailAddress City State2p � �`'w' <br /> Phone . '""^. <br /> •�� .F.� <br /> //4Q/��Z-0���//`r ��`'4� <br /> State License Number ;� t,r <br /> Contract Price of Work <br /> 5�.2 acso/�t�' r;..�'.. . <br /> � .. .,�� , <br /> Proposed Use af Building ' r"`ti•� <br /> � <br /> :�,$'� <br /> Description of Work to Be Done: - � //� � 1'"�ti'' <br /> ��:����L7�/J1E Li///'Z'/%a. • i:�;.�.y. <br /> ^.',: '.•� <br /> •!'�_y . <br /> �� <br /> r. <br /> :a <br /> t5�-. <br /> S��s� <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIUNAL, INSTITi1TiONAL OR HEALTH CARE FACIUTIES '' �'�� <br /> MUST BE ApPROVED BY THE STATE OF WqSHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE � � Y <br /> .'. ;.: '� <br /> STATE APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ,: � r <br /> '' '� �� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS. (MC AND AC ARE CABLES, NOT r{ <br /> ��, <br /> RACEWAYS. '-' <br /> . ;�fzi.���: <br /> NANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS ','�� <br /> -:; ,a:t <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIPdUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHEH OPERAB�E EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BF. MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SFC. 3106�b)4 E & F AND NOT �ESS THAN 36 INCHES ABOVE THE FLOOR. � <br /> 1 HEREB" CERTIFY THAT/HAVE,4EAp ANO EXAMINED THIS APpL/CqT/ON AND KNOW THE SqME TO BE TRUE AND CORRECT. ALL <br /> PROV/S/ONS OF LAWS AND OROINANCES GOVERNING TH/S TYPE OF WORK WILL BE COMPLETED WHE7HE/7 SPEC/FIEO HEREIN OR NOT, <br /> THE GRANT/NG OFA PfRM/T DOES NOT PRESUME TO GIVEAUTHORITY TO �/IOLATE OR CANCEL THE PROV/SIONS OFANY OTHER STATE <br /> OR COCAL LAW REGULq 7/NG CONSTRbCT/ON OR THE PERFORMANCf OF CONSTRUCTION. THAT/AM AU7HORlZED BY THE OWNFR OF � <br /> 7HlS PRGPER7Y TO PfRFORM THE WO,?K fOR WH/CH APPLlCA7/ON/S MAOEAN�/COMPLY W/TH 7HE STq TE CONTRACTORS LAW 18.27 <br /> . RCW ANO 296.200 WAQ � . <br /> � Sipnaturo � ! �`�— � FEE � � <br /> Oata <br /> �� / IL/ ' EIfC/JIP(VlN51 II <br /> � <br /> � <br />