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F pPLI� 1TION �O� ELECTRICAL P 1MIT <br />CITY OF EVERETT <br />BUILDING DIVISION <br />3200 CEDAR STREET <br />EVERETT, Wq 98201 <br />�'�. j� � ��' '� . <br />:/ J J � _�\ ' , ,.� <br />PROJECT ADDRESS — <br />//�/^J <br />'�� <br />� <br />,. � <br />�"�Y��� � - ' i �`)ni> " � - � ' �l ' ' �� ,� � / <br />OwOef Meil Addreee � C�ry Sute2p Phone/� <br />Tenant Meil Addrese <br />City Stete2 � Phane <br />, �� � - �. , , � ; ., . ' ! " " . . ' � . __ _' . � . r � J ,�. � � . - % }' _, - . <br />' ' � .,i� <br />Electrical ContraEtor nne�i �(ldms� N ''Ciry • Stnte2p Phone <br />� r <br />, n i a/ •� .,,_: <br />State License Number Contiact Price ot Work <br />' ;, -� � � _�. <br />Proposed Use of Buildinp ' <br />Description of Work to Be Done: ;�`��� <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br />MUST BE APPROVED BY THE STATE OF \NASHINGTON. APPLICANTS WITH SUCH JOBS MU�T SHOW THE <br />STATE APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSI�ED. WAC 296-46•140. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN HACEWAYS. (MC AND AC ARE CABLC:�, `�OT <br />RACEWAYS. <br />HANDICAPPED ACCESSIBILITY: ELECTFICAL AND COMMUNICATIONS SYSTEM RECEPTACLES �N WALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG ACCESSI6LE ROUTES OF TRAVEL SHALL DE MOUNTED A MINIMUM <br />OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br />ENVIRONMENTAL AND OTNcR CONTROL RECEP7ACLES AND OTHER OPERABLE E�UIPMENT WITNIN <br />ACCESSIBLE SPACES OR ALONG ACCCSSIBLE 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 nBOVE THE FLOOR. <br />/ HEREBY C£RTIfY THAT / HAVE RfAD AND EXAMINED TH/S APPL/CAT/ON ANO KNOW THE SAMf TO BE 7RUE AND CORR£CT ALL <br />PROVISIONS OF (�i WS AND OROINANCES GOVfRN/NG 7HlS ryPf OF WORK WILL BE COMPLETED WNETHER SPEC/FlfO NERE/N OR N07, <br />TNf C,RANTING OFA PERM/T OOES NOT PRESUMf TU GIVf AUTHOH/TY TO V/OLA7E OR CANCEL !HE PROV/S/ONS OFANY 07HfR 57ATE <br />OR LOCAI W W REGULAT/NG CONSTRUCTION OR THf PER�ORMANCE Of CONSTRUCT/ON. THAT l AM AUTHOR2ED BY THf UWNER OF <br />THIS PROPfRTY TO PERFORM THE WORK FOR WH/CH APP!/GATION /S MADEANO l COMPLY WI7H THf STATE CUNTRACTORS LAW 78.17 <br />RCWAND 196.700 WAC. <br />SiOneture <br />/i ., ! _ <br />— __ FEE �� <br />Da�e <br />�'%� „ / . [IICM'I11VN51 <br />5`� / �U <br />