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APPLICATION FOR EL�C1'RICAL P�RIVIIT <br /> CITY OF EVERETT <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> EVERETT, WA 98201 259-8810 <br /> '� ��s� � ��a Y ��' ��.� ��� /�l��s��,//� 6d,�yrao�/ �-s�-�.� <br /> Owner Muil Address City State/Zip Phone <br /> Tenant Mail AJdress City State/Zip Phone <br /> ���^ � <br /> Electrical Contractor Mail Address City State/Zip Phone Scate LicenseNo. <br /> Contract Price of Work ProposeJ Us�of Building <br /> /9�J�o cn�,�r� <br /> r�o��naar�s � <br /> Description of Work to Be Done: /S'"/ ��✓`uU �� �����,/ �✓ " L� 1� <br /> U <br /> NOTE: b'VAC 296-46-140 REQUIRES 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 WIIL BE 1SSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN PJIETALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> HA�IDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITI�IN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. . <br /> ENVIRONMENTAL AND OTHER CONTROL RE�EPTACLES AND OTHEFi OPERABIE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF THE 1991 u.B.C. SEC. 3106(b14 AND NOT LESS TIiAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO EiE 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. 7HE 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 /> REGULATING CONSTRUCTION OR 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! THF STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> " '�� � �'a7 � �'� F� .�� ` — <br /> �� � <br /> Signature Date <br /> ei�o�rv(�n_vvaJ <br />