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APPL[CATION FOR ELECTRICAL �'�RMIT <br />CITY OF EVERETT <br />BUILDING DIVISION <br />3200 CEDAR STREE7 <br />EVERETT, WA 98201 <br />��..J <br />'��a <br />i <br />��c yys-.��.s <br />�Y�sGN C-�AtYd1e�C3 10. 6�95 S�sb�.-.r,,..� cUA 99��0 oo9e' 77� /so/ <br />Ownef Ms�l Addreee Ciry State2p Phcne <br />eL.e 1�I013 /'S /Ccrd'<Fa.ctC�C E✓EM/% W.�% 9$.LO <br />TenBrlt Meil Address Ciry Stete2p Phone <br />Electrical Contractor <br />State License Number <br />Si.�.�� F F'.ar1i< Y <br />Proposed Use of Building <br />Meil Addreee <br />City <br />Description of Work to Be Done: L,�Lq,(/,.;:E /'7F_TG,G ,Q/�� <br />State?p <br />Contrect Price of Work <br />Phone <br />�' NOTE: PLANS FOR ELECTflICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br />t 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 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 51-2G SEC. 31061c)2. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIB�E ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br />RANGES OF WAC 51-20 SEC. 31061b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />/ HER£BY CERT/FY THAT l HAVE READ ANO IXAMINED THIS APPLlCAT/ON ANO KNOW THE S4ME TO BE TRUE AND CORREC7: ALL <br />PROVIS/ONS OF LA N�S AND OROINANCES GOVERNING THIS TYPE OF WORK N�/LL BE COMPLETED WHETHfR SPECIFIED HEFEIN OR NOT, <br />THf GRANTING OFA PERMIT OOES NOT PRESUME TO GIVE AUTHORl7Y TO VIOLATE OR CANCEL TI/E PROVISIONS OFANY OTHfR STATE <br />OR LOCAL LAW RE('iULATING CONS iRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT / AM AUTHORIZED BY THE OWNfR OF <br />THIS PROPfRTY TO PERFORM THE WORK fOR NhlICH APPLICATION !S MADEAND l COMPLY WITH THE STq TE CONTRACTORS L4W 18.77 <br />f.Cw dNn �aa 9nn wnr <br />Signeture Dete <br />FEE ,;� <br />Il[CAMN[V BNS� <br />