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APPL•ICATION FOR ELECTRICAL PERMIT <br />CITY OF EVERETT <br />BUILDING DIVISION <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />�L�<ui �/a+,���'� ,�C'k �Co�/J <br />Owner Mail Address <br />Tenant Mail Address <br />��/� u,�. <br />City Sfate/Zip <br />City State/Zip <br />259•8B10 <br />/6 C� <br />Phone <br />Phone <br />�Fl F S�/�-�yrC <br />Eleclrical Contractor Maii Address City Stale/Zip Phonc Stale LicenseNo. <br />� �� ��� <br />Contract Price uf V/ork Proposed Use of Building <br />Q � �� S • � t � — �V E!� �%T I.L %� . <br />Project Address <br />Description of Work to Be Done: <br />Z-O U AGN� JE�`�%CE <br />�/neF Eivs r�{-3 <br />f�OTE: \NAC 296-4G-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDI;i,ATIONAL, INSTITUTIONAL <br />OR HEALTN CARE FACILITIES BE APFROVED �Y THE STATE OF WASHINGTON. APPLICANTS WITH SUCH <br />JOBS MUST SHOW THE STATE APPRO�'ED PLANS BEFORE CITY OF EVERET PERMIT WILL BE ISSUED. <br />NOTE: WIRING IN NON-CWELLINGS IS REQUIRED TO BE I'V ^AETALLIC RACEWAYS fMC AND AC, ARE CABLES, <br />NOT RACEWAYSI. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AMD COMMUNICAT70NS SYSI'EM RECEPTACLES ON VVALLS <br />WITfiIN ACCESSIBLE SPAI;ES Ok ALONG ACCESSIBLE ROUI'Ea OF TRRVEL SHALL BE MOUNTED A MINIMI�M <br />OF 15 INCHES ABQVE THE FLOOR. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES 11ND OTH[R OPERABL� EQUIPMENT WITHIN <br />/1CCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THC REACH <br />RANGES OF THE 199 i u.B.C. SEC. 3106(b�4 AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />I t 1EREBY CERTIFY TFiAT I HAVE READ AND EXAMINED THIS APPLICATICN AND KNOW lHE SAME ?0 8E TRUE <br />A;JC CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WII.L BE <br />COMPLE?ED WITFI WHETHER S!'EC!fIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOE� NOT PRESUME <br />TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIGNS OF ANY OTHER ST^,TE OR LOCAL LAW <br />REGULA�ING CON�TRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNEfI OF T}fIS PROPERTY TO PERFQRP.4 THE WORIC FOR WHICIi APPLICATION IS MADE AND I COMPLY <br />WITH THE S,TATE CONTFjA4TORS LAW 18.27 RCW AND 296.200 WAC. <br />�X .�y � .// °� �rti� j��`i'" l 5� <br />! Signature Da'c <br />etecnpp (3R4/94) <br />