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APPLICATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERETT <br /> BUILDING DIVISION <br /> � 3200 CEDAR STREET <br /> EVERETT, WA 98201 <br /> 259-8810 <br /> �--�5,` �1 � C / <br /> ��, k lX� �����x ���a 1=�1a�i� � ��� �,�etie �l r,stl 98�� �r -�,�'-�, <br /> �O,wner Mai Address City State/Zip Phone <br /> a( <br /> cx�ne; <br /> Tenant Mail Address City State/Zip pb��� <br /> ��n�� <br /> Electrical Contrector Mail Address City � State/Zip Phone State Licer.seNo. <br /> n <br /> Contract Price of Work Proposed Use of Buildfng <br /> ,�����1 �-�orr� �� �����e�, �Jl� �f$�C7'� <br /> Prqect Address <br /> l "� � <br /> Description of Work to Be Done: (�C�V�O �J��,��I� n���� <br /> � <br /> NOTE:WAC 296-4&-140 REQUIRES THAT PLANS FOR ELECTRICAL WO�RK AT EDUCATIONAL, INSTITUTIONAL <br /> OR HEALTH CARE FACILITIES BE APPROVED BY THE STAiE OF WASHINGTON. APPLICANTS WITH SUCH <br /> � JOBS MUST SHOW THE STATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT WILL BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METAL�IC RACEWAYS (MC AND AC, ARE CABL'eS, <br /> NOT RACEWAYS). <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATiONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRF�VEL SH�,LL BE MOUNTED A MININiUM <br /> OF 15 INCHES ABOVE THE FLOOR. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND O?HFR Q°ERABLE Eauirr�Erv� wi�HIN <br /> ACCESSIBLE SPACES C1it ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHW THE r�EACH <br /> RANGES OF THE 1991 u.B.C. SEC. 3706(b14 AND NOT LESS THAN 36 INCHES ABOVE 7HE FLOOR. <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br /> � AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WI�L BE <br /> COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> T.0 GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHEF: STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTI�N. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WI11CH Af'PLICATION IS MAUE AND I COMPLY <br /> V��ITH THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> ,�C ��J-c�z � .���,,L).�x ra -� -�l _ F� 2� — <br /> Signature DTte <br /> elecapP(324l94) <br /> � <br />