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APPLICATION FOR ELECTRICAL PERMIT <br />CITY OF EVERETT <br />BUILDING DIVISION <br />3200 CEDAR STREET <br />EVERETT,:NA 98201 <br />PROJECT ADDRESS <br />Tokh 0C{ 206-7f67-y7/Q <br />Owner Mail Address City Stetatzp Phone <br />MC-)nrNy no (aau Gytke e_n tl r,,p �1� LiM. Uas- a$a-f261 <br />Tenant Mail Address City Steta?ip y�gn_ <br />i <br />At1PUO LNinio W6,11 8'01? 7q3-q?OL <br />Electrical Contractor Mail Address city State/Zip Phone <br />State License Number <br />Proposed Use of Building <br />Description of Work to Be Done: <br />Contract Price of Work <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br />MUST BE APPROVED BY THE STATE OF WASHINGTON, APPLICANTS WI7:1-1 SUCH JOBS MUST SHOW THE <br />STATE APPROVED PLANS BEFORE CITY OF EVERE17 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 SYSTEM 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 GOVERNING THrS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HERFJN OR NOT, <br />THE GRANTING OFA PERMIT DOES NOT PRESUME TO GIVEAUTHORITY 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 />arw nnm wR. ?nn wnr. <br />Signature Date <br />5A- W <br />FEE <br />