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CITY OF EVERETT <br />BUII. DING DIVISION <br />3200 CEDAR Si BEET <br />EVERETT, VVA 98201 <br />(425) 257-8810 <br />APPLIC/YION FOR ELECTRICAL PERMIT <br />:r'C%C\\- <br />PROJECT ADDRESS <br />CA\ C, 1� '--� <br />Owner <br />Mail Address <br />StateOp Phone <br />Tenant Mail Address City State/Zip Phone <br />Electrical Contractor Mail Address City Stalegip Phone <br />State License Number Contract Price of Work <br />�� c <br />C+Za.c <br />Proposed Use or Eibi ing <br />Description of Work to Be Done: \ k�pr.�c.,\sL <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 296-46-100. <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 0' A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER ST4TE <br />OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE OWNER OF <br />THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE CONTRACTORS LAW 18.27 <br />RCW AND 296.200 WAC. <br />Signature <br />An aljz?� <br />Date <br />FEE <br />46-766o0 <br />ReCAPIRV IMP) <br />