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APPLICAT#ON FOR ELECTRICALrERMIT <br />CITY OF EVERETT <br />BUILDING DIVISION <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />(425) 257-8810 <br />glue,. Eve r-rff Vff �X-,�a 1 <br />PROJECTADD SS ' 1 ' r <br />� h' CC P0, say 114 JCVrvr� h/esh.-QoQ�-- <br />Owner Mail Address City Stat&Zp Phone <br />Tenant Mail Address City stalemp Pie <br />Electrical Contractor Mail Address City State2ip Phone <br />State License Number <br />SIh9/i 1_ Q4 /V 1C-S <br />Prop ed Use of Building <br />Description of Work to Be Donee w y -C �� 0 Lf <br />Contract Price of Work <br />IG <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 BE ISSUED. WAC 296-46-140. <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <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 TRAVEL 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 />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNINr: THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR NOT, <br />THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORIT! TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE <br />OR LCCAL LAW REGULATING CONSTRUCTION OR THE PERFORMAVCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE OWNER OF <br />THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATIOi I IS MADE AND I COMPLY WITH THE STATE CONTRACTORS LAW 19.27 <br />RCW AND 296.200 WAC. <br />Signature <br />01 <br />Date <br />FEE <br />5 / V V ftECAP(RV 1"71 <br />