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APPL...ATION FOR ELEC1'RICAL . .:RMIT <br /> CITY OF EVERETT <br /> BUII.DING DIVISION <br /> 3200 CEDAR STREET <br /> EVERETT, WA 98201 <br /> 259-8810 <br /> �( D_1 2�rd �-�-1- <br /> PROJECT ADDRTSS Z(N� <br /> �Ob'1'I f i i,���1��" �.Q 1•'r' i .� � b' 1`,�l 15 fc �1�' N� `��C7f�' i,u19 `/�1`-� ��-i o <br /> Owner Mail Ad ress City State/Zip Phone <br /> �.v��c�v- �i e�� <br /> Tenant Mail Address City StatelZip Phone <br /> Electrical Contractor Mail Address City State/Zip Phone State LicenseNo. <br /> ���i c�?.�1 c�. <br /> Contract Price of Work Proposed Use of Building <br /> Description of Work to Be Done: I� '�LI � I�"�, 1 ��l�17�C�� ��n —` U C���1" I�� — <br /> � �ti�ti�ec�-h�y� -fr> > ��� ^ �l�c-�ri ca.l �aY � C��,M���-Ie�{ <br /> awL��\� G�AO - �� cl`;r uvv�c�vrtc��l i c� ��� - e��-l�ti-�.� <br /> NOTE:WAC 296-46-140 REQUIRES THAT PLANS FOR ELECTRICAL WORK 'AT EDUCATIONAL, IPISTITUTIONAL <br /> OR HEALTH CARE FACILITIES RE APPROVED BY THE STATE OF WASHINGTON. APPLICANTu WITH SUCH <br /> JOBS MUST SHOW THE STATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT WILL BE ISSUED. <br /> NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br /> NOT RACEWAYS). <br /> HANDICAPPED ACCESSIBILI'fY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCFSSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES A60VE THE FLOOR. WAC 51-20 SEC. 3106Ic)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER JPERABLE EQUIPMENT WITHIN <br /> ACCESSIB�E SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE P.EACH <br /> RANGES OF WAC 51-20 SEC. 31061b)4 E&F AND NOT LESS THAP! 36 INCHES ABOVE THE FLOOR. <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEG THIS APPLICA"TION AND KNOW THE SAME TO BE TRUE <br /> AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WQRK WILL BE <br /> COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME <br /> TO GIVE AUTHORITY TO VIOLATE OR CANCEL TNE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br /> REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUC'tION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPFRTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY <br /> WITH THE STATE CONTRACTORS LAW 18•27 RCW AND 296.200 WAC. <br /> � <br /> / / / /� <br /> X � '�W l��" � ' !_�� C (G' '/ � Fee�- . <br /> � / / <br /> Signaiure Date <br /> �� / <br /> (/��S de<aPP(I117/94) <br /> Y <br />