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APPL'- 4TION FOR ELECTRICAL f_RMIT <br />CITY OF EVERETT <br />BUILDING DIVISION <br />3200 CEDAR STREET \ J <br />EVERETT, WA 9R201 W'�� �[C %L/YJ�j 4Z6? <br />259-8B10 <br />Owner / <br />Mail Address <br />— <br />City <br />_ <br />r <br />StatelLp <br />Phone <br />l^r <br />\CA I C`'IS <br />S <br />St"fC <br />yip AS <br />Tenant <br />Mad Address <br />City <br />State/Zip <br />/ <br />CA,:) <br />gryPhone <br />Electrical Contractor <br />Mad Address <br />City <br />rya S 99 <br />> <br />State/Zip <br />_ <br />PhR�ne <br />L L,"n-oZ0 <br />I< <br />State License kbmber <br />LA <br />r__� t N I <br />Contract Price of Work <br />Proposed Use of Building <br />Descrir <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br />MUST BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE <br />STATE APPROVED PLANS BEFORE CITY OF EVERETT 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 f CCESSIBLE SPACES On 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. 31061b)4 E & F A-4D 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 THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR NOT, <br />7Hf 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 AUTHOR/ZED BY THE OWNER OF <br />THIS PROPERTY TO PERFORM THE WORK A R WHICH APPLICATION lS MADEAND I COMPLY WITH THE STATE CONTRACTORS LAW 18.27 <br />RCWAND 296.200 WAC. <br />FEE <br />Signature <br />Date <br />/ �/1 q q,0 MCe REV M51 <br />(r, �C1 <br />