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APPLICy4TiON FOR ELECTRICAL �''�RMIT <br /> crrv oF eveAerr n <br /> BUILDING DIVISION / /��� �� <br /> 3200 CEDAR STREET ��-� �y� y— <br /> EVERET7�. WA 98207 " . <br /> ,5,5'„z 7 25s-as�o <br /> rnuJECT ADDRESS / �Z�/��� /�� <br /> �IETcr� �� <br /> Owner Meil Address <br /> , Ciry State2p <br /> Phone <br /> Tenant Mail Address <br /> �'ry Stem2p <br /> � Phone <br /> ElecVical Contractor <br /> Mad Addres� ��N <br /> Sta[e2p phone � <br /> State License Numher �— <br /> Contract Price of Work <br /> Proposed Use of Building <br /> Description of Work to Be Don�: l � <br /> ' --�L��- i'u��l �ZtrcC �e oZOD �z,y�o ����� <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> MUST BE APPROVED BY THE STATE OF WASHINGTON. APP�ICANTS WITH SUCH JOBS MUST SHOW THE <br /> STATE APpROVED PLANS BEFORE CITY OF EV;REl7' pERMIT WILL BE ISSUED. WAC 296-46-140. <br /> NOTE: W�RING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS. (MC AND AC ARE CABLES, NOT <br /> RACEWAYS. <br /> HANDICAPPED ACCESSIBILITY; ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBIE ROUTES OF l'RAVEL SHALL BE MOUNTED A MINIMU� <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 57-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROI RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED W�THIN THE REACH <br /> RANGES OF VYq� 51-20 SEC. 3706�b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> l HEREBY CERTIfY THAT l yqVE RfAO qND E?GqM/NED TN/S App(/CAT/ON ANO KNOW THE SqME TO BE TRUE AND CORRECT. ALL <br /> PROV/S/ONS OF Lq yyS AND OqD/NANCfS GOVfRN/NG ,7�1S TypE OF WORK, W/LL BE COMPLETED WHE7/�F�7 SPEC/FIfD HE/?E/N OR NOT, <br /> THE GR,qN7/NG OFA pERl.1/7'DOES NOT PRESUME TO GlL'EAU7NOR/7y TO VlOL4TE OR CANCEL THE PROV/SIONS OFANY OTHER S7A Tc <br /> OR LOCAL LqW REGULqT/NG CONSTRUCTION OR TNE PERFORMANCE OF CONSTRUCi lO/V, Ti�lq7'/AM AUTNORIZED 9y THc"OWNER OF <br /> TH/S PROPfRTy TO PfRFORM THE WORK FOR WH/CH APP(ICATION lS Mq pf ANO l COMPLY WITH THE STq TE CONTR.QCTORS!f7 LY 78.27 <br /> . RCW ANO 296.700 WAC. <br /> � <br /> r / <br /> _ �'� '- C ���_ J � <br /> Sipnature FEE <br /> Date �--�__ <br /> ��`�� ' (IICAryI1N65f1 <br /> I <br />