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AP:'LICATION TOR �LECTRICAL PI;RMI'I' <br /> C'ITY oF EVERETf <br /> BUILI�i;:�i DIVIS(JN <br /> �200 CEDAR STREET <br /> EVERETT, WA 98201 <br /> 259-88f0 <br /> �" IYI,oE ► Z�14 `l1L �,,���� �� �.� I�<, ��(? '7Y3- 3Y31 <br /> Owner Mail Address City Stnte/Zip Phone <br /> Tment Mail Address City Stete/7.ip P6one <br /> ( ��l.lY1I�.1 �,1C'r�fiL Q �•�iDY'3G�; �� � '�3Y �]�7 �oi.nirlll�l4i� <br /> Eleclrical CO ractor Meil Address City State/Z�p Phone State LicenseNn. <br /> Conlracl Price of Work r�����rd use�r n��;id;,,b <br /> [1,�3 lo't� 01 5 ��;,�,��_.S,n��. <br /> Project AdJress <br /> Description of Work lo Be Dnne: _��� <br /> NOTE: WAC 29G-46-1A0 REOUIRES TI1AT PLANS FOR EI.ECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL <br /> OR HEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASfiINGTON. API'LICANTS WITH SUCN <br /> JOBS MUST SHOW THE STATE APPFOVED PLANS BEFORE CITY OF EVEHET PFRMIT WILL BE IS�UED. <br /> NU7E: W�RING IN NON�UWELLINGS l5 REal11RED TO DE IN ME7ALLIC RACEWAYS (MC AND AC, AfiE CABLES, <br /> NOT RACEWAYSI. <br /> HANUICAPPED ACCESSIBILITY: ELECTRICAL ANC COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCFSSI6LE ROUTES OF TRAVEL SHALI BE MOUNTED A MINI�dUM <br /> UF 15 INCHES ABJVE THE FLOOR. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE E�UIPi�"F.NT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL "HALL BE MOIINTED WITHIN THE FiEACH <br /> RAIJGES OF THE 1�91 u.B.C. SEC. 31061b14 AND NOT LESS TNAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREBY CEFTIFY THAT I HAVE READ O,ND EXAMINED THIS APPLICATION AND KNO'N THE SAME TO BE TRUE <br /> AND COR'�ECT. ALL PROVI310NS OF LAWS AND OfiDINANCES GOVERNING THIS TYPE UF WORK WP.L �F. <br /> COMPI.E- ED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GFANTING OF A P[RMIT DOFS NOT PRESUME <br /> TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHFFi STATF OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUC110N. THAT I AM �UTHORRED BY THE <br /> OWNER OF THIS PROPERTY TO PFRFORM ThIE WORK FOR WHICH APPLICATION IS MA�F AND I COMPLY <br /> WITH THE STATE CONTFlACTORS LAb'v �8.�? RCW A��7 296.200 WAC. <br /> X - --- �� �-- -- --�`7-� y y-- r•�t`� — <br /> 5�ignnture D.dc <br /> 4���°�� <br /> elecap�� (iRJ/0.11 <br />