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APPLI((i'.TION FOR ELECTRICAL F(.3MIT <br />CITY CF EVERETT _ /�u�� / <br />BUILDING DIVISION �$ 7 <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />L259-8810 <br />_ (.107 &xlm lAle. gy_o� <br />PROJECT ADDRESS <br />[17V of f_WAx77-- 2W2 Uk'Mate- A& - ZV&z_7T- 141q- 9_R1o/ IS)"-47 ,1 <br />Owner Moil Address City Stata2p phony <br />Tenant Mail Address City stateFOp "hone <br />Aq.d.b-.B i ei i 1 itie eaf ,A Ls i )t IA& OPh79 ze2e. 4/7)- -ji 77 <br />Electrical Contractor Mail Address City <br />m�410L' �aVAJ <br />State/License Number <br />Proposed Use of Building <br />Description of Work to Be <br />stata2p <br />Pilo <br />Contract rice of Work <br />Phone <br />NOTE: PLANS FOR ELECTRICAL WORK. AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br />MUST BE APPROVEO BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW 1HE <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 AND AC ARE CABLES, NOT <br />RACEWAYS. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTFM 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 GOVEINING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR NOT <br />THE GRANTING OFA PERMIT DOES NOT PRESU'NE TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OFANY 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 FOR WHICH APPLICATION IS MADEAND I COMPLY WITH THE STATE CONTRACTORS LAW 18.27 <br />RCW AND 296.200 WAC. <br />FE6So k _ <br />Signature Data <br />�S_ �/arm <br />