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APPLICAT �N FOR ELECTRICAL�'ERMIT <br /> CITY OF EVERETT <br /> BUfLD/NG DIV/S/ON <br /> 3200 CEDAR STREET <br /> EVERETT, WA 9H2O1 ' <br /> (425) 257-8810 � <br /> /o� L �'�- ��-� <br /> PRO CT ADDR6S3 <br /> � <br /> � C <br /> State2lP Phone <br /> �J����".��., � J�;� � <br /> Tenant MailAddreas Ciry State2ip Pnone <br /> Electrical Contrecto� Mal Addresa Criy Stale2ip Phons <br /> State License Number . Contract Price of Work <br /> Proposed Use of Building <br /> Description of Work to Be Qone: <br /> ! .�.Qi /f'Il�// ) ' l��'1A,2�_/ <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL G�� HEALTH CARE FACILITIES <br /> MUST BE APPROVE� 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 RACEWP.YS, PAC OR AC CABLE. <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 OPERAf3LE 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 /> !HEREBY CERTIFY THAT I HAVE READ AND E-XA.NiNED THlS APPIJCATION AND KNOW THE SAME TO HE TRUE AND CORRECT. ALL <br /> PROVlSIONS OF LAWS AND ORDINANCEs'GOVERNING THIS TYPE OF WORK N1LL DE COMPLETED INHETHER SPECIFIED HEREIN OR NOT, <br /> THE GRANTING OF A PERMIT DOES NOT PkFiUME TO GIVE AUTHORITY TO VIOi.ATE OR CANCEL T.-f�PROVISIONS OF ANY OTHER STATE <br /> OR LOCAL LAW REGULATING CONSTRUCTICN OR THE PERfORMANCE OF CONS7RUCT10N. TNAT 1 AM AUTHORIZED BY THE O WNER OF <br /> THIS PROPERTY TO PERfORM THE WORK FOR INHfCH APPUCATION IS MADE AND 1 COMPLY WITH THE STATE CONTR4CTORS LAW 18.17 <br /> RCW AND 296.200 WAC. <br /> �_, ]i � CJ I Z- .�LS FEE �� — <br /> S nature Date <br /> ,�QSZ �«��„�.,, <br />