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APPLiC TION FOR ELECTRICAL P. 1VIIT <br />CITY OF EVERETT <br />.9UILDING DIVISION <br />7200 CEDAR �TREET <br />EVERETT, WA 98201 <br />�I j j �� 17 %6'�� ���d c�- , <br />PR.O.TECT ADDRESS <br />1SG�i-ak NI��I_c_ Izd <br />Ovner <br />Tenant <br />Electrical Contractor <br />Contract Price of Work <br />Description of WorY, ro Be Done: <br />idail Address <br />Mail Address <br />— <br />����� h� <br />City <br />City <br />c��-�J�.a4� <br />StatelZip v <br />State/Zip <br />�3�i-��3'�7 <br />Pho¢e <br />Phone <br />"'wr._ <br />Mail Address City StatelGip rnw� --•--•--- <br />��Z <br />Propo^ed Use af Building <br />��9n �%iiJJ/�� _ <br />NOT�W AC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK ?.T EDUCATIONAL, INSTITUT�ONAL <br />OBS MUST SHOW THEISTATE AP ROVE�D PIANS BEFORE CITY OF EV RHET PERMIT WILLL EASSUED'TH SUCH <br />NOTE: WIRIfVG IN IVON-DWELLINGS IS REQUIFiED TO BE IN MEfALLIC RACEWAYS (MC AND AC, ARE CABLES, <br />NOT RACEWAYS). <br />HANDICAPPEC ACCESSIBILITY: .ELECI'RICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />FT15N CHES ABOVETHE FL ORAWAC 51C20 SECL3106(c)zS OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />ENVIRONMENI'AL AND CTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUI?P.1ENT W�T��N <br />RANGESI OF W C 51S 0 SECo3 O6lb)4EE&F AND NOT LEOSS THANE3 INCHES ABOVE THE FL.00R. THE REACH <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br />COMPLETED WITHLWHETHERI SPECIOF ED HEREI�N OR NOT.ATHEEGRANTENGIOF A PIERMIT DOES NOT PREISUME <br />TO GIVE AUTHORITY TO VI01_ATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br />F,EGULATING CONSTRUCTION OR THE PERFOF�v1ANCE OF CONSTRUCTION. TIiAT I AM AUTHOFIZED BY'1NE <br />WITHETHE STATE CONTRACTORS LAW 18.27 RCW AND 296. 00 WAC;.PPLICATION IS MADE AND I COMPLY <br />X <br />C� /j <br />Date <br />/� � <br />Fee d �� — <br />/ /�n�� . decaPP Cl?1�7194) <br />/7� (i <br />