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APPLij^,TION FOR ELECTRICAL II&MIT <br />CITY OF EVERETT <br />BUILDING DIVISION <br />3200 CEDAR STREET ,yy�®y <br />EVERETT. WA�1 <br />lJ.��%�i h ` h. F ? ` <br />�� . %Q� /�% �� �% \,,.k2�%/q®P��%� 259-8810 <br />I Cieooe /9TN Qirr S_F -v- /AoTN ---'!fT <br />%4� ,BosC izz 5- L°.�sr� .4' Afa�d ee 97sZw/ 6W-E0!Af1Cw <br />Owner Mail Address city State/Zip Phone <br />Tenant Mail Address City StateTAp Sid/-13Mc* Phone <br />Electrical Contractor Mail AJdrass - City <br />State License Number <br />Proposed Use of Building <br />/ 17er -16za3iao <br />State/Zip <br />*`/Di 7S-So0- <br />Contract Price of Work <br />Phone <br />Description of Work to Be Done: /d/'67.4 st,,. FQu cT.9,t/Lnt/h /fs.[/ Z'�' fig" <br />W IZ>Wr_ i,4A1 iS O'x /B' 9 &V �Tv T 6te op�e 2S'2 <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 HYFEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND OROINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HERFJN OR NOT, <br />THE GRANi.'NG OFA PERMIT DOES NOT PRESUME TO GIVE AUTHORITr' TO VIOLATE OR CANCEL THF. PROVISIONS OFANY OTHER STATE <br />OR LOCAL LAW REGUL ArING 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 MADEAND I COMPLY WITH THE STATE CONTRACTORS LAW 16.27 <br />RCWAND 296.200 WAC. <br />Signature <br />Oath <br />FEE <br />�0467 <br />