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CITY OF EVERETT <br />BUILDING DIVlSION <br />3200 CEDAR STREET <br />EVERET7; WA 98201 <br />(425J 257-8810 <br />APPLICATION FOR ELECTRICAL PERMIT <br />( �. ' <br />.'> //6 ..Foc,f't�>/�P/ <br />PROJECT ADDRESS <br />icCJ S <br />Mail Address <br />/iv <br />Slale2ip <br />oi <br />Tenant Mail Address City StatrJZip Phone <br />sCo <br />/�ro�r-ss i o �, � %�/p , �r.c%� J'D.C3 d.� ,3 5� i ,�i /• -•�L� � (� 9�'aa.J �135 � 6a /2 <br />Electrical Contrector Mail Address City State2ip Phone <br />Fic'6.�= �=F,I' 6 � �,t�1 <br />State License Number <br />o�'f•<<1 <br />Proposed Use of Building <br />.� �,2 . s'v a `" <br />Contract Price of Work <br />n <br />Description ef Work lo Be Done: ,/�� �o�� �P P,� iC �•-�y .7 v�� �9-..-,� . fGrc�� ��' G'�� <br />!i(//�'l G�fGri7�o� 4 f e�.� /� J <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 WIIL BE 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 AI.ONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN TFIE REACH <br />RANGE5 OF WA.0 51-20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />I NERE6Y CERTIFY THAT ! HAVE READ AND EXAMINED 7"rIIS APPLICATION AND KNOW THE SAME TO 8E TRUE AND f•ORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING iNIS TYPE OF WORK WlLL BE COMPLE7ED WHETHER SPECIFIED HEREIN OR NOT. <br />THE GRANTING OF A PERMIT DOES N0T PRESUME TO GIVE AUTHORITY TO VlOLATE OR CANCEL 7HE PROVISIONS OF ANY OiHER STATE <br />OR LOCAL LA W fiEGULA TWG CONSTRUCTION OR THE PERFCRMANCE OF CONSTRUCTION. THAT 1 AM AUTHORlZED BY THE OWNEH OF <br />THIS PROPERTY TO PERFOFcM11.TFlE WORK FOR WNICH APPLICATlON IS MADE AND 1 COMPLY WITH THE STATE CONTRACTORS UIW 18.27 <br />RCW AND 296.200 WAC. <br />��Ci iCl,"' /S ���7"T/��/J�i-� <br />SignaWre <br />Dalc <br />FEE ^ �� � O <br />e-o <br />k OOOfo-O'�I <br />RFG%�Ev t09)1 <br />