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�7a S <br /> ( � <br /> APPLI�ATION FOR ELFCTRICAL PERI�ZIT <br /> CITY OF EVERETT <br /> BUfLDiNG DIViSfON <br /> 3200 CEDAR STREET � <br /> EVERETf. WA 98201 <br /> . � <br /> 259-8810 <br /> , � tr�.l��?��.��„���7�1���R�� 34��-�33i <br /> er Mai AJdresa City State/Zip Phone <br /> Tenant Mail AJdress City S�ate/Zip p6oue <br /> 98��y- <br /> ���Q�enaf L'o . f0 ff�x ,SGYo �o�m.� /.�A oso� 35��-���GF,vE�cco�lyc <br /> Elxtncal Contnctor Mail Address City State/Zip Phone State LicenseNo. <br /> � <br /> �f��-- �,�i�1�/�i:xa -��'/�i' �_/�Q� <br /> Conlnct Price of Work Pr posed�f Building <br /> ��['��3 /t)_��al_n�—�c� E��26�3 <br /> Projxt AJdress <br /> Description of�4ork to Be Done: � ' :GCFiL�J �� .!,�//f�l�/}�i�_ <br /> On1 ./)/J �j�� _ <br /> NOTE: WAC 296-4G-140 REQUIRES THAT PLANS FOR ELECTRICAL N�OFK AT EDUCATIONAL, INSTITUTIONAL <br /> OR HEALTH CAR[ FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH <br /> JOBS MUST SHOW THE STATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT WILI BE ISSUED. <br /> NOTE: WIRING IN NON•DWELLINGS IS RE�UIRED TO BE IN METALLIC RACEWAYS (W1C AND AC, ARE CABLES, <br /> NOT RACEWAYSI. <br /> NANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR AtONG ACCESSIBLE ROUTES OF T'iAVEL SHALL BE MOUNTeD A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES �ND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSI�LE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RAMGES OF THE 1991 u.B.C. SEC. 31061b14 AND NOT LESS 7HAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br /> AND CORRECT. ALL PFOVISIONS OF LAWS AND ORDINANCES G�VERNING THIS TYPE OF WORK WILL BE <br /> COMPLETED W�TH WHETHER SPECIFIED HEREIN CR NOT. THE GP.ANTING OF A PERMIT DOES NOT PflESUMF. <br /> 7"0 GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROViS10NS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORI2ED B'( THE <br /> OWNER OF THIS PROPERTY TO PERFOFM THE WORK FOR WHICH APPLIC�TION IS MADE AND I COMPLY <br /> WITH THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> 45 .. � L� n � � <br /> t _'��' / ' f./�/�� Fee O(c�� O <br /> Signature U��� <br /> �+ 2 / � <br /> � � ��•�•rv�aa�9a� <br />� _ <br />