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CITY OF EVEREfT <br />BUILDING DIVISION <br />3200 CEDAfl STREET <br />EVEREI'T, WA 98201 <br />Owner <br />APPLIC TION FOR ELECTRICAL P' 'MIT <br />Lq.� � L�� 3 <br />Me�' h <br />1 Bn3nT Mail Ada•eae <br />Elu.�',,�M/ ���y � C���,c�`�n1 <br />�b��, k ,� <br />C(ry <br />Ciry <br />,ZE3zv�.� L, <br />Electfical Contractor Meil Add•ess City <br />��EC?�C: l60�TE <br />State License Number <br />=T,� �„� 0��=� I�- <br />Proposed 16se of Buildinp <br />Description ot Work to Be <br />/^%..J <br />�� <br />� <br />L���Sf�� �ti y8ls� <br />5[ete2p <br />Stele2p <br />,�o /., c.h r �y�^� ��/c�,s � 9w. <br />�� <br />Phone <br />Phane <br />.,, 787 <br />Stete2p Phona <br />��- u� _ .— <br />Contract Price of Work <br />G <br />NOTE: PLANS FOR ELECTNICAL WORK AT EDUCATIONAL, INSTITUTIGNF L OR HEALTH �ARE FACILITIES <br />MUST BE APPROVED BY TFiE STATE OF \NASHINGTON. APPLICANTS WITH SUCH JLBS MUST SHOW THE <br />STATE APPFOVED PLAN� BI_FORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-4_-140. <br />NO i E: WIRING IN NON-DVVELLItJGS IS REQUIRED TO BE IN RACEWAYS. (MC AND AC ARE CABLES, NOT <br />RACEWAYS. <br />HANDICAPPED ACCESSIEILITY: ELECTRICAL AND COMMUNICA710NS SYSTEM RECEPTACLES ON WALLS <br />WITHIN ACCESSIBLE SF'ACES OR ALUNG ACCESSIBLE ROUTES QF TRAVEL SHALL BE MOUNTE� A MINIMUM <br />OF 15 INCHcS ABOVE'I'HE FLOOR. WAC 51-20 SEC. 3106(c12. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE E�UIPMENT WITHIN <br />ACCESSIBIE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br />RANGES OF WAC 51-20 SEC. 31061bl4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />l HfRfBY CERTIFY THA7 / HAVf REAO AND IXAMI,NED THIS APPL/CATlON ANO KNOW THE SAME TO BE TRUE ANO CORRfCT. ALL <br />PROVISIONS OF LAWS AND OROINANCfS GOVERN/NG THIS 7YPE OF WORK WILL BE COMi LETED WHETHER SPEL/F/EO HF1iEN OR NOT, <br />THf GHA�/7/NG Of A PERM/7 DOES NOT PRf�UME TO GIVf AUTHORITY TO VIOLATE OR CANCEL THE PROV/SlONS OFANY OTHFR STATE <br />OR LOCAL LAW REGULAT/NG CONSTRUCTION OR THf PfRfORMANCf Of CONSTRUC770N. THAT l AM AU7HORlZ£D BY THf OWNER OF <br />THIS PROPERTY TO PER!-0RM THf WORK fOR N H/CH APPLlCAT10N lS MAOEANO l COMPLY WITH THE STATE CONTRACTORS NW 18. Z7 <br />RCW AAD 196.700 WAC. <br />Signeture <br />�`C%i �!/�'s✓v`�` Ji(-'i I Y ( / � ` FEE <br />Date <br />_�3�� ���.�.��,A„ <br />