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APPL ATION FOR ELECTRICAL f �MIT <br /> arv oF eveRErr <br /> BUILDING DIVISION <br /> 3200 CEDAR STREEf <br /> EVERETT,WA 98201 259-8810 <br /> •]'7 � � I L: IIIrV�\Ql"L S' \t�YC ��I �� <br /> PROJECT ADDRESS <br /> �t��v�el� �euti �a � � 'l."�v � 'Z- l�c� c1� ( lY1 , _—. <br /> OwnBf Msil Addre�s Gry Stets?p Phone <br /> � , StetelLp Phone <br /> Tenant Mail Address City <br /> ��+� I /,/ 1 �� ��� TI . . [�U <br /> c' <br /> \ �l tIGCYY 1G. --1•��C ' 'F��C1 h Ot+/L �C.�.��C'Y\tN ' �' o S � Cl/ <br /> Qectrical Contractor M�il Addres� C�ty Stete?P Phona <br /> �T61„C I sG .t'iT- c���d , eo <br /> State License Number Contract Price of Work <br /> [ T1 l � E-' <br /> Praposed Use of Buildinp <br /> Description of Work to Be Done: I v�S'b I I 1 " �O��+.� �� � 'K �t+ ' u ���' � � �ZS�.i�e'�S <br /> �L' �oCu`� G. ..7 Sl.����t� <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIGivAL, INSTITUTIONAL 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 EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. <br /> NOTE: YVIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS. (MC AND AC ARE CABLES, NOT <br /> RACEWAYS. <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. 31061c12. <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 /> FANGES OF WAC 51-20 SEC. 31061b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> l HEREBY CfRTIFY THAT l HAVE READ AND EXAMlNfO THIS APPLICAT.ON AND KNOW THf SAME TO Bf TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNINC THIS TYPf OF WORK WILL BE COMPLETED WHET1�fR SPEClFIED HERfIN OR NOT, <br /> THE GRANTING OFA PERMIT DOES NOT PRESUME TO GlVE AUTHORITY TO VIOLATE OR CANCEL THE PROVIS10N5 Of�ANY OTHER STATE <br /> OR LOCAL LAW REGULAT/NG CONSTRUCTION OR THE PERfOHMANCE OF CONSTRUCTION. THAT I AM AUTNORIZEO BY THf OWNffi OF <br /> THIS PROPERTY TO PERFORM THE WORK FOR WH1CN APPL/CATION IS MADf AND I COMPLY WITH THE STATE COA'TRACTORS CAW 18.27 <br /> RCWAND 796.200 WAC. <br /> � � <br /> ��� 0� - , A1. ?� � ,a << �J -� �/ y. FcE �� <br /> Sipneture Date <br /> . nmurmveAsi <br />