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CITY OF EVERETT <br />BUILDING DIVISION <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />I -1 l Z <br />PROJECT ADDRESS <br />Owner <br />APPLI#4TION FOR ELECTRICAL PfcRMIT <br />r <br />S)eVe- Win. <br />Mail Address <br />City <br />State(Lp <br />8 <br />Phone <br />Tenant Mail Address / d�+G City �1 State/ZZp Phonel <br />/� 7Zz —zSoU <br />1`C.GYL f.��.(',�.t�r' L- �2C ' J�= /� • i l//J-`lf>'/7� <br />Electrical Contractor Mail Address City Stete/Lp Phone <br />T_ e—v ry - —*q- -c2 4 13 � ,/, / .2 S <br />State License Number ` /L Contract Price of Work <br />Proposed Use of Buildfng <br />Description of Work to Be Done: <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 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 51-20 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. 3106(b)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 AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR NOT, <br />THE GRANTING OFA PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OFANY OTHER STATE <br />OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE OWNER OF <br />THIS PROPERTY TO PERFORM TH: WORK FOR WHICH APPLICATION IS MADEAND I COMPLY WITH THE STATE CONTRACTORS LAW 18.27 <br />RCW AND 270. (00 WAC. N <br />/x <br />Signature <br />Date <br />FEE <br />q <br />n c( "aN51 <br />