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APPLICA'CION FOR �LECTRYCAL PER11'IIT <br /> CITY OF EVERETT <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET • <br /> EVERETT, WA 98201 <br /> 259-8810 <br /> �- <br /> �T��C�� t�"L L1��>`�� -- �!-��� -��� �7- i<t� �'�% � �/�n (_�,v�-t'��(,'!'i, � ��'�r't''� <br /> Owner Mail Address Cily State/Zip Phone <br /> Tcnant Mail Address Cily State/Zip Phone <br /> Electrical Contractor Mail Address City State/Zip Phone State LicenscNo. <br /> i//✓'�`1_ C� i-��J,`,1 <br /> Contract Price of Work Proposul Use of IIuitding <br /> /�1�� - �a�.�y � ,=�f,�<.�: -- <br /> Project Address <br /> Description of Work to Be Done: <br /> �'�/�L_/�G�- ��c L �t� ;�i.;��, <br /> SL,f-f-T.i'—!�/a-(_ �,.'O ��r�%� . <br /> NOTE:WAC 296-46-140 RE�UIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL <br /> UR HFALTH CARE fACILITIES C�E APPROVED BY THE STATF OF WASHINGTON. APPLICANTS WITH SUCH <br /> JOBS MUST SHO'.N THE STATE APPROVED PLANS E3EFORE CITY OF EV[R[T PERMIT WILL BE ISSUED. <br /> NOTE:WIRING IN NON•DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CA6LES, <br /> NOT RACEWAYS). <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ACONG ACCESSIBLE ROUTES OF TRAVEL SHALL 6E MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSI6LE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNT[D WITHIN THE REACH <br /> RANGES OF THE 1991 u.B.C. S[C. 3106(b14 AND NOT LESS TfiAN 36 INCHES ABOVE THE FLOOR. <br /> I HEflEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br /> AND CORRECT. ALL PROVISIONS nF LAWS AND ORDINANCES GOVFRNING THIS TYPE OF WORK W�LL BE <br /> COMPLETED WITH WIiETHER SPECIFI[D HEHEIN OR NOT. THF GRANTING OF A PERMIT DOES NOT PfiESUME <br /> TO GIVE AUTHORITY TO VIOLATE OR CANCEL TI�E PROVISIONS OF AfJY OTHER STATE OR LOCAL LAW <br />, REGULATING CONSTRUCTION OR TFIE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM TH[ WORI< FOR WHICH APPLICATION IS MADE AND I COMPLY <br />! WITH THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> r <br />��� � 'l� �� ' � . r� . F� �� <br /> .�Signature Da e <br />'� � �lr ��b <br /> �i��.,�,�pn_ai9a> <br />