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APPLI ,TION FOR ELECTRICAL I_ .iMIT <br /> CITY OF EVERETT <br /> BUILDING DMSION <br /> 3200 CEDAR STREET <br /> EVERETT,WA 98201 <br /> 259-8810 <br /> S`� S t 1 � e,rF (�� S� <br /> PROJECT ADDRESS <br /> Q�A-� NPm+�I►� SSiI ( `�Y R�E 5E Cvc-�zc-TT wr� Q9�°3 Si3 ��4� <br /> Owuer Mail Address City State/Z�p Phone <br /> Tenant Mail Address City State/Zip Phone <br /> 1N1<<f�l�l� /'� EG'(� a�ko5 as�{�1 NW S�Rrlwan� WR48�42 65Joby'l MiSi�C�br' <br /> Electrical Contractor Mail Address C�ry State/Z�p Paone State L�censeNo. <br /> � yD�}. S� <br /> Contract Price of Work Proposed Use of Building <br /> Description of Work to Be Done: a�p 5 V� �(�NE� d" 5� �' �F� � I�G��� F�� � <br /> i T�8 <br /> NOTE:WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL <br /> OR HEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH <br /> JOBS MUST SHOW THE STATE APPROVED PLANS BEFORE CITY OF EVEREf PERMIT WILL BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS lMC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL A?JD 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 57-20 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. 37061b)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 <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br /> COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PEF.FORMANCE OF CONSTRUCTION. THAT I AM AUTHOflIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY <br /> WITH THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> �� <br /> � 31a� 9 �� F� ��� <br /> X � �,� C� � — <br /> Signature Dale <br /> /: <br /> � i, <br /> / �i� -i � decepP(IYl7/94) <br />