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APPLi�:ATIOPI I'OR EL�CTRICAL P�R1I�IIT <br /> CITY OF EVLRFTT <br /> BLIILDING DIVISION <br /> 3200 CEUAR STREET <br /> EVERETT, WA 98201 <br /> "�f C�ZU j 259-8870 <br /> I � �i /� <br /> > 7-�,- / ✓ � �- sl� �� yzZ � ��c(;. ��' cUc�-c �� �= Zs�-U`';•� <br /> Gvme�— Mail Address C�:y State/Zip Phone <br /> Tenant Mail Address City State/Zip Phone � <br /> Electricat Contractor Mail Address i;iry State/Zip P6one State LicenseNo. <br /> Contrac[P ice of Work � � ' ,.)/ Propos�d Use of Building <br /> �9,� -� �p.''<..�„_i,. > <br /> /7�kK, 1��; �ti �/,�l> iv� � ���- /� <br /> Project Address <br /> Description of Work to Be Done: �h'��J �oc,.: e2 `� a �� <br /> NOTE:WAC 296-4G-140 REQUIRES TNAT PLANS FOR ELECTRICAL WORIC AT EDUCATIONAL, INSTITUTIONAL <br /> OR HEALTH CARE FACILITIES BE l�PPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH <br /> JOBS MUST SHOW THE STATE APPROVED PLANS BEFORE CITY OF EVERET FERMIT WILL ElE ISSUED. <br /> NOTE:WIRING IN NON•DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC P,ND AC, ARE CA6LES, <br /> NOT RACEWF.YS). <br /> HANDICAPPED ACCESSIBILITY: EIECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLfS ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF '15 INCHES ABOVE THE FLOOR. <br /> ENVIRONME�ITAL AND OTHER CONTROL RECEPTACLEJ AND UTHEfi JPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR AI.ONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN TFIE REACH <br /> RANGES OF THE 1991 u.B.C. SEC. 31061b14 AND NOT LESS 7HAN 36 INCHES ABOVE THE FLOOR. <br /> I IIEREBY CERTIFY THAT I HAVE R[A� 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 PRESL'ME <br /> TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OFl LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORI< FOR WHICH APPLICATION IS MADE AND I COMPLY <br /> WITH TH[�STATE CO ACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> i � <br /> � � -- <br /> X , <br /> r � <br /> ����� Fce <br /> Signature Date <br /> � �"� � <br /> � r � <br /> �- �i«,�,� �+n_:�9» <br />