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APPLICAT' �N FOR ELECTRICAL �ERMIT <br /> CITY UF EVERE7T <br /> BUILDING DI'�ISlON <br /> 37U0 CEDAR STREET <br /> C-VERE7T, WA 98201 <br /> (425J 257-8810 / ' <br /> ��� j3 � �G <br /> -._Y�c�tv� ���� I���" S�rc�e� . <br /> PROJECT ADDRESS <br /> ��L� o P ���c_,l'�l i _ '��t72f�'"CI �!�1 <br /> O�ne� Mail Address <br /> ��Y StatelLiP Phane <br /> l�O S3� �Za�� �59 - � 7 ��f <br /> Tenant Mail Address City Slate/Zip Phone <br /> �`�,,-, ' �� �SSTb V�'l� �4� � 1'Yl� �rrr���, ��) A �1��27� 3(A �kZ� <br /> Electnca� Contractor MailAddre>s p-� � (� City State/Zip ' phane <br /> f 1 v �p �'�3~I <br /> �1-rl n� s lb'1 � 1 Z� noc7 <br /> State License Number . Contract'Price o(Work <br /> �� �b1� c , l ; IE��I- � S��ve� <br /> Proposed Use of 8uilding <br /> Description of Work to Be Done: �L�� �� s CD,j� <br /> /� <br /> � <br /> - ��� �9 3 s� <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INS7ITUTIONAL 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 EVERE'rf PERMIT WILL BE ISSUED. WAC 296-46-140. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO HE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON \NALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TR,4VEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIftONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIB�E ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREBY CERTIF% THAT ! HAVE REAO AND EXAMINED THIS APPLlGAT/ON AND XNOW THE SAME TO 8E TRUE AND COftRECT. ALL <br /> PROV/SiONS OF LAWS AND ORI7/NANCES GOVERNING THIS TYPE OF WORK W/LL BE COMPLETED WHEiHER SPECIFIED HERE/N OP,NOT, <br /> THE GRANT/NG OF A PERMI7'DOES NOT PRESUME TO GIVE AU7HORITY TO V/OLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATc <br /> OR LOCAL LAW REGULATING CONSTRUCT/ON OR THE PERFOftMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED 8Y THE OWNER OF <br /> 7'HIS PROPERTY 70 PERFORM THE WORK FOR WH/CN APP(1CATION IS MADE AND 1 COMPLY WITH THE STATE CONTRACTORS LAW 78.27 <br /> RCW AND 296.200 WAC. <br /> F[E , / /\ <br /> Signature ���� J <br /> Oate � <br /> EicG%PEV�6911 <br />