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APPLIC'ATION FOR ELECTRICAL PERMIT <br /> CITY OF EVERETT <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> EVERETT, WA 98201 <br /> ��=a� <br /> _�� iLfcc���in.�� /ll�ccic. 9'9'�9" 3/ s'.NL'h S� ;dcr�> �. .�, qg�c"�,v- T�' <br /> r <br /> Owaer Mail Address Ciry State/Zip Phone <br /> -��c.JO'1 io� '�� /%���' <br /> Tenant � Mail Address Ciry StatelZip pbooQ <br /> �h1�+loc��PJ/!/G, /1IcFCf/ c� <br /> Electrical Contrec r Mail Address City State/Zip Phone State LicenxNo. <br /> �In � <br /> Conhact Price of Work Proposecl Use of Iiuilding <br /> � 7�� ���i✓LI/O�G <br /> Projext Addrcss <br /> Description of Work to Be Done: ��/J'� � l�d t f/� ��^ <br /> NOTE:WAC 296-46-140 :iEQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL <br /> OR HEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH <br /> JOBS MUST SHOW THE STATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT WILL BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (Mr, qND �C, ARE CABLES, <br /> NOT RACEWAYS). <br /> HANDICAPPED ACCESSIBILITY: ELECTR�CAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBIE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE?HE FLOOR. <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 THE 1991 u.3.C. SEC. 3106(b�4 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 <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br /> COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> RECULATING CONSTRUCTION OFi THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY <br /> WITH THE STATE CONTRACTORS LAW 18.27 RC4N AND 296.200 WAC. <br /> X�%�..� ,-��C�-� /- ?- 9 5� F� -� <br /> Signature Date <br /> �/�1�3 I <br /> elecapp(]I5197j <br />