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CITY OF EVEREfT <br />BUILDING DIVISION <br />3200 CEDAR STREEP <br />EVERETT, WA 98201 <br />Owner <br />�� <br />Tenant <br />APPLI�'4TION FOR ELECTRICAL PERMIT <br />i <br />�✓ /SL3 k `;; <br />Meil Addrse� <br />�/ 2� / T�/� Y i <br />Mail Addrees <br />/^/� <br />'��� I <br />' L~[/// /L� <br />,r <br />Ciry St�ts2p <br />' ii n/ii/. /.! /A i <br />p �y � Stete2p <br />Phon� <br />Phom <br />/�i0a17`O/1/% � i�.�.Q/C r <br />Electrical Contractor Mail Address Ciry Suce2p Phane <br />��/���E-siz/o F <br />State License Number <br />�' 0- /� <br />Propased Use oi Buildinp <br />Descriotion ol Work to Be <br />$�-i�-�'� <br />Contract Price of Work <br />NOTE: PL4NS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES <br />MUST 8E APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUSI' 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 CABIES, 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(c12. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCFSSIBLE ROUI'ES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br />RANGES OF WAC 51-20 SEC. 37061b14 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />/ HfRE6Y CERT/FY THAT l HAVE READ ANO IXAMINfD THIS APPL1CATfON ANO KNOW THE SAME TO BE TRL'f AND CORRfC7. ALL <br />P�OVlS/0N5 OF LAWS AND ORO/NANCES GOVERN/NG THIS 7YPE OF WORX W/CL 8E COMPCETfO WHE7NFii SPfCI.%fD HFRFJN OR NOT, <br />TNE GFANTI/JG OFA PFRM/T DOES NOT PRESUME TO GfVE AUTHORI7Y TO VlOLQTE OR CANCfI THE PROVISlONS O= ANY OTHER S7ATE <br />OR I.00AC LALV REGU(AT/NG CONSTRUCTION OR THf PfRFORMANLf OF CONSTRUCTICN. THAT ! AM AUTHORIZEII BY THE OWNER OF <br />7HlS PROPEATY TD PfRFORM THE WORK FOR WHlCH APPClCAT10N IS MADE AND l COMPLY Wl7H THf STATE CONi RACTORS fAW 18.27 <br />RCR�AND 296.200 WAC. <br />, J <br />Signo;ure <br />-'� <br />� i — <br />oam <br />FEE <br />(�j�/.NI�(V NN <br />