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APPLICATJPN FOR ELECTRICAL*ERMIT <br /> CITY OF EVERETT <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> EVERETT, WA 98201�{��d ir.W) <br /> (425) /d/1 D'PoI <br /> PTDJECTADDrtRRESS SuSr(L zoo FtAm—,. WA. <br /> TTa'� <br /> Owner Mail Address CIC/ SlataTLlp pphoy1 <br /> (a A Corz PDR/ �'T�,U YL.i- »fl-zr4r <br /> �i'll Sf• SL J zoo L NNN. W4. 9 W03f. s�+►S,ngQa;_ <br /> Tenant Mail Ad/ esa city State/Zip Phone <br /> N°vA Mc 4 lie a/rn` L/Z S - 77 f- VY6 <br /> Electrical Contractor ' Mail Ad esa cityCC Phone <br /> LORIGi- � F L_E-CTR3c j/.Ic . T+ yv, 7Sbci F"ST. <br /> State License Numter 1 3(es 7Go� M1TG9 w� 7 6><a r Contract Pric r Work <br /> A ( 3to) 243 1c'i % <br /> E.r.r c..Z/u thR Zell. L..a 9:le 1410. az a c� <br /> Proposed Use of Building <br /> Description of Work to Be Done: Pork-`L FOIL 7apLy /ykoTak /GbJ f AAA <br /> — r <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br /> MUST BE APPROVED BY THE STATE C7 WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE <br /> STATE APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE 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 CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING .THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR NOT, <br /> THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE <br /> OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION, THAT I AM AUTHORIZED BY THE OWNER OF <br /> THIS PROPERTY TO PERFORM THE WORK AOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STA TE CONTRAC TORS LAW 18.27 <br /> RCW AND 296.200 WAC. <br /> �t I $Z/l 4 K FEE <br /> /2 <br /> Signatur ! Date <br /> neunen lwr, <br />