5427 BROADWAY 2016-01-01 MF Import

APPLICATION FOR �LECTRICAL PERMIT CI7'P OF EVERL•TT BUILDING llIVIS10N 3200 CEDAR STREET EVERETT, WA 98201 259-8810 �KR� �e k5 �n5'�/ hl.C-. isC,�� C, •,-�-), Un, l l� c.�14. �8�7Z 8f�3 �x,� Owner Mail Address City StatelZip Phone Tenanl Mail Address City State/Zip Phooe Electrical Contractor Mail Address City State/Zip Phone State LicenseNo. Contract Price of Work Proposed Use of Building c�`Y�� ,C7f•�vn.f e )C� L/ Proiect Address Description of Work to Be Done: � �� ' `-' � NOTE:WAC 296-46•140 REQUTAES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASHI�GTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT WILL BF. JSSUED. NOTE:WIRI�G IN NON-DWELLINGS IS REQUIRCD TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, NOT RACEWAYS). HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM OF 15 INCHES ABOVE THE FLOOR. ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH RANGES OF THE 1991 u.B.C. SEC. 31061b14 AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAV`/S AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT nOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE OWNER OF THIS PFOPERTY TO PERFOfiM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. �� ' x / � �_ 3 _��_ r� ?�� � Signature Datc � ��/ dccapP(!!?419-0)