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APPLI�.�TION FOR ELECTRICAL I-�d1�IIT <br /> CITY OF EVERETT <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> EVERETT. WA 98201 <br /> �^�/� `-°! �1✓� S�r L o� fl � 259-8810 <br /> PROJECT ADDRESS <br /> __ LF�� c/CEci Co�.ir <br /> Owoer Mail Address City State/Zip Phone <br /> Tenant Mail Address City Sla[e/Zip phone <br /> �;.� � I+�.f;,.. 71SN• �a���' Scal��, I..,ny.. 5Yi { �ft-2�5� d�� ,��ii�FUfs(SC2< . <br /> Electrica Contractor � Mail Address C�ty State/Zip Phoue StateLiceoseNo, <br /> .��o<.� Iderr- <br /> Contract Price of Wc.rk Proposed Use of Building <br /> Description of Work to Be Done: I NS%�x� S�r � P Fti���� �, <br /> NOTE:WAC 296-y;i-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAI <br /> OR HEALTH CARE FACILITIES BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH <br /> J08S 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 MEfALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYSI. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE flOUTES OF TRAVEL SHALL 9E 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 O�ERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACh, <br /> P.ANGES OF VVAC 51-20 SEC. 31061b)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 B�_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 AUTHOflITY TO VIOLATE OR i,ANCEL THE PqOVISIONS OF ANY OTHER STATE OR LOCAI LAW <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WOFiK FOR WHICH APPLICATION IS MADE AND I COMPLY <br /> WITH THE STATE CONTRACTORS LAW 18.27 flCW AND 296.200 WAC. <br /> X �, � � �L� <br /> � �, �e 3�� �s s F� <br /> S�gn re Date . <br /> ��O/ elecaPP(1 J27/9�) <br />