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CITY OF EVERETT <br />BUILDING DIVISION <br />3200 CEDAR STREET <br />EVERETr, WA 98201 <br />ir/N.v �l <br />Owner <br />Tenant <br />� � <br />APPLIf' 4TION FOR ELECTRICAL Pr�MIT <br />� <br />Meil Addresa <br />Mail Addreae <br />CO�tfeCtOt Meil Addresa <br />�,/L <br />c�ey <br />City <br />Ciry <br />��iZ/f�s���%h���" <br />State License Number /1 <br />, S� r�/�' ,` l7 / C!, S��CQ.�,.� �P <br />Proposed U e of Bui) i B <br />l. �/ Y-r• �%�L[ ;�� � <br />Description o} Work to Be Done: <br />//�/� <br />'��� <br />� <br />� J�,/ ��a�i <br />Stete2p <br />Stete2p <br />StetefLp <br />Contract Price of Wark <br />/J S�1/✓lL <br />'S�'-�� r� <br />Phone <br />Phone <br />Phone <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br />MUST BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE <br />STATE APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL 8E ISSUED. WAC 296-46-140. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS. (MC AND AC ARE CABLES, NOT <br />RACEWAYS. <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 OPERABLE EQUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TFAVEL 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 />l HfREBY CERTIfY THAT l HAVE RfAO AND IXAMINED THlS APPUCAT/ON AND KNOW THE SAME TO BE TRUf AND CORRECT. ALL <br />PROVISIONS OF IAWS AND OROINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETfD WHETHER SPECIFlfO H£REN OR NOT, <br />THE GR.QNTING OFA PERMIT DOfS NOT PRESUME TO GIVEAUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OFANY OTHER STATE <br />OR LOCAL LAW REGULATING CONSTRUCT/ON OR THE PERFORMANCE OF CONSTRUCTlON. THAT l AM AUTNORIZED BY THE OWNER OF <br />TH/S PROPERTY TO PERFORM THE WORK fOR WHfCH APPLICATION lS MADEAND / COMPLY WITN THE STATE CONTRACTORS LAW f 8.17 <br />RCN�AN 296.T00 WqC. <br />�'��u�.4 �� ��-,��' % � <br />Signature Date <br />SL�� � Z <br />FEE j � <br />[l[CNnIV CN51 <br />