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APPLTCATIC�N I�OR EL�CTRICAL P�RIVIIT <br /> CITY OF EVERETT <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> L-VERETT, WA 98201 <br /> - 259-8810 <br /> �\ � � <br /> • ,.7r�� , !Y'� � ' %/i,l� . <br /> '.r�G 1.. i i`i i 'r..'.ir � 'i.,.'.�.. / / /:_�,�%.� �_. <br /> Ownef ' -�- �J-l� 3�1-1C`. <br /> J Mail Addr�.;s City State/Zip Phone <br /> Tenant Mail Address <br /> City State/Zip Phone <br /> 1. /'t �CC(� ( � rp�\ 11� � l' � C � '�r <br /> Elutncal Contractor Mail Address City State/Z�p Phone Statn LicenseNo. <br /> - - _.i K� <br /> Contract Price of Work Proposzcl Use of Building <br /> 'j � �/ � i�r il�! ' � <br /> �l �.: 1 rli � t <br /> Project Address <br /> Description of Work to Be Done: ' �C ,;.��' -,�'�( • p\ �.,.. � � �� �-' <br /> NOTE: INAC 296-SB-140 REQUIRES THAT PLANS FOR ELECTRICAL WORI< AT EDUCATIONAL, INSTITUTIONAL <br /> OR HEALTH CARE �ACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH <br /> J06S MUST SHOW THE STATE APPROVED f .ANS BEFORE CITY OF EVERET PERMIT WILL 3E ISSUED. <br /> NOTE: WIRING IN NON-GWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS �MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> HANDICAPPED ACCES>IBILITY: ELECTRICAL AIVD COMMUNICATIONS SYSTEM RFCEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES UF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 WCHES qBOVE THE FLOOR. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLCS AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALO�'G ACCESSIBLE ROUTES OF 7RAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGFS OF THE 1991 u.B.C. SEC. 3106(b)4 A�JD NOT L[SS THAN 3G INCHES AF�OVE THE FLOOR. <br /> i HEREBY CERTIFY TtiAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br /> AND CORRECT. ALL PROVISIONS OF I.AWS AND ORDINANCES GOVERNING THIS TYPE OF WORN. WILL BE <br /> COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERP�IT DOES NOT PRESUME <br /> TO GIVE AUTHORITY TO VIOLATE OR CANCEL fHE 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 TF�IS PROPERTY TO PERFORM THE WORK FOR WHICH �,PPLICATION IS MADE AFJD I COMPLY <br /> WITH THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> X ( - <br /> . <_ <br /> l� G.-_�' . �l. '. ' �� � '� ��� �G�/ '. ,. �� <br /> ` Fee '��'J <br /> Signature Date <br /> � ����� elccapP(3/24194) <br /> � <br /> ____.....��, <br /> _ _�' <br />