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APP�.IGAT`7N FOR ELECTRICAL 'EI�MIT <br /> CITY'OF EVERETT <br /> BUILDIA'G DIVISION <br /> 3200 CEDAR STREET <br /> EVERETT, WA 98201 <br /> (425) 257-8810 <br /> v�_ <br /> ���z ll�" �C� W�s7 c�Kcri . <br /> PROJECT ADDRESS <br /> �c i yw --�uG�.,�., CJn7f l�Z2 SA�,,,,i�,,,��� /���P l{,�c�5t�rc.� G�IN 9f31 s'�r3 337-y)33 <br /> Ownef Mail Address City State/Zip Phone <br /> ' W�� !� . <br /> Te�ant Mail Address City SlateJZip Pl,�ne <br /> E��L�jfc4� G��/!/y�viL��i�7'7�� GLGt/#U Ll�cl�-rV"4'� �.7✓11AKXJ� �� �L��7 �y�S) 7E7�OZdJ <br /> Electrical Contractor �v MaiiAddress City '^� StalelLip Phone <br /> �LEG��C.�l��:.TE �/.so. �� <br /> State License Nurt:ber . Contract Price of Work <br /> l.(^v�<�i c.y-�L� /LM�)r�'/ /�U�..IL� <br /> Propose3�Use of Building <br /> Description of Wark to Be Done: (.^S (Y�� U/��'L��/�d•4-�-� �"(�,,/���y /,�j„vc/ ,�J fC I <br /> f� ��.� �,�Ne� �.;�,� ' ! <br /> NOTE: PLANS FOR ELECT�ICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALI'H CARE �ACILITIES <br /> MUST BE APPROVED BY THE STATE OF WASHINGTON. AFPLICANTS WITH SUCH JGSS ML;:T 5HOW THE <br /> STATE APPROVED PLANS BEFORE CITY OF EVERETT PEP,:NIT WILL BE ISSUED. WAC�96-46-1�:U. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN R.4CEWAYS, MC OR AC CABLE. <br /> HANDICAPpED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON �VALL.S <br /> WITHIN ACCESSIBLE SPACES OR ALONG .4CCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCIiES AEOVE THE FLOOR. WAC 51-2U SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHEr� CONTRUI. RECEPTACLES AND OTHER OPERABLE EQUIFMENT WI'iFIIN <br /> ACCESSIBLE SPACES OR ALONG ACCES518LE ROUTES OF TRAVEL SHALL BE MOUNTED �NITHIN THE RE'•.CH . <br /> RANGES OF tNAC 51-20 SEC. 3106(b)4 E & V�AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREAY CERTIFY THAT I NAVE READ AND EXAMINED THIS APPUCATION ANO RNOW THE SAME TO 8E TRUE AND CORRECT. ALL <br /> PROVIS/ONS OF LA WS AND OROINANCES GOVERNING THIS Tl'PE OF WORK WILL BE COMPLETED WHETNER SPECIF/ED HE,4ElN CR NOT, <br /> THE GRANT/NG OF A PERMIT DOES NOT PRESUhlc TO GIVE AUTHORIN TO V/OLATE OR CANCEL THE PROVISlONS OF ANY OTHEi4 S7ATE <br /> OR LOCAL LAW REGULAT/NG CONSTRUCTION OR THE PE4FORMANCE OF GONSrRUCT10N. THAT 1 AM AUTHORRED AY THt O WNER OF <br /> TrllS PROPERTY TO PERFORM THE 4VORX FOR WHlCH APPUCA770N IS MADE AND I COM?LY WITH THE STATE CONTR.4CTORS L4 W 18.27 <br /> RCW AND 296.200 WAC, <br /> ik✓� � �H�c Zb l G `>8 FEE ,-7h,rlTD <br /> Signature Dale �J <br /> EIEG^%�EV fOv1� <br />