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1 <br /> i <br /> F.PNLiCATj��N FOR ELECTRICAL�'ERIIAIT � <br /> C/TY OF EVEREfT <br /> OUILDING DIVISION <br /> 3200 CEDAR STREEI' <br /> EVERETT, WA 98201 <br /> (425) 257-88i0 <br /> ? <br /> YJJ3� JI� �tJG WC�� �Jl/!� <br /> PROJECT ACDRESS �c�ZS� <br /> ,�x�-;GG�x� G-,s���tc /ZZZ.f�lvi�q�✓"f`�� C4� S��r�'s i�y��' �/l'z.S� 33Y-7yar� <br /> Owne� Mail Address City 3lalrRip Phone <br /> ��� � �� <br /> Tenant Mail Address City Stale/Zip Phone <br /> E(c�'I�'rc.4/ E�n���� �yz�� <br /> r t. � f ,as z�c Z�ZO �(j Lr-r�l� (.J=��/v��n�.�/��•P c.dQs� 9G'+�36 7��-vluo <br /> Electrical Contrecto� MailAddress City StatrJLp Phon� <br /> L4�c T�c_2(���7� .�wv-�o <br /> State License Number . Contract Price of Work <br /> NCw� L«s�i.tcfii..� Q�D/t� <br /> Proposed Use af Building <br /> Description of Wark to Be Done: W� �-L �,�� � E i� s�jti f�� ����Ct Td r i rN �T f=✓��� <br /> /d�G aUt uJ /U•� 64�v+�/� 4�✓i/i � •L e�� £/-'ll_ ?UU v9�r�_'��� <br /> { <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EOUCATIONAL, INSTITUTIONAL OR HEALTN CARE FACILITIES <br /> MUST BE APFROVED BY THE STATE OF WASHINGTON. APPLICANTS WITFi SUCH JOBS MUST SHOW THE <br /> STATE APPROVED PLANS BEI=ORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO 8E IN RACEWAYS, MC OR AC CA3LE. <br /> HANDICAPPED ACCESSIBILIIY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE �LOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPER,4BLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBI.E ROUTES OF TRAVEL SHALL BE P�10UNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE'rHE FLOOR. <br /> I HEREcY CERTIFY 7HAT 1 HAVE READ ANG EXAMINED THIS APPLIC�TION AND KNOW TNE SAME TO BE TRUe AND CORRECT. ALL <br /> PROV/SIONS OF LAWS AND ORO/NANCES GOVERNING THIS TYPE OF W(�.2K WILL BE COMPIETED WHETHER SPECIFIED HEREIN OR NOT, <br /> THE Gr27NTING OF A PERMIT UOES NOT PRESUME TO GIVE AUTHOftITY TO VIOU7'E OR CANCEL rHE PftOVIS10N5 OF ANY OTNER STATE <br /> OR LOCAL L'lW REGU117TING CONSTRUGTION OR THE PERFO.RMANCE OF CONSTRUGTIOPI. TNAT I AM AUTHUR!ZEG 9Y THE OWNER OF <br /> THIS PROPERiI'TO PERFORM THc WORK FOR WHfCH APPLICATION IS MAOE AND I COMPLY WITH TNE STATE CONTRACTORS LAW 78.27 <br /> RCWAND 296.200 WAC. <br /> � J <br /> ' cssG��/./ /''/�a"'�'�� i/�l �„/ �rJ �`19c�'� FEE ��C/ <br /> Signa�ure Date <br /> ��/� 3 4 <br /> � ELEfNIAe'���1 <br />� — <br />