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APPL*TION FOR ELECTRICAL fRMIT <br />CITY OF EVERETT <br />BUILDING DIVISION <br />3200 CEDAR STREET <br />EVERETT, WA 9820' <br />PROJECT ADDRESS <br />C�lu�el�i � C'L/�: e>< `l9/3 (� �y e•«7f` lift �� %oy <br />Owner / Mail Address City State/Zip Phone <br />G /I ti/-� I - <br />Tenant <br />Mail Address <br />City <br />State/Zip Phone <br />Ree's <br />C y <br />7 r'r v•'c e C �oc1<�,'C <br />lr 30 Cs: GS�.d /1 t/ <br />C at,OA. 7'/ 1-i-4 <br />Electrical Contrac or Mail Address City <br />1L?e&Y''C5 // 6- /?/*;> <br />State License Number <br />C1(/(rc" <br />Proposed Use of Building <br />Stete0p Phone <br />Ica- 7.v.?— P7» <br />Contract Price of Work <br />Description of Work to Be Done: _ <br />O - c%: ro q <br />Si h v; c i,i <br />( <br />1 <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 6E ISSL'GD. 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 HERELIY CERTIFY THAT I HAVE READ AND DCAMINED THIS APPLICATION AND KNOW THE SAM TO BE TRUE AND CORRECTT, ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WR-L BE COMPLETED WHETHER SPECIFIED HEREIN OR NOT, <br />THE GRANTING OFA PERMIT DOES NOT PRESUME TO GIVEAUTHORITY TO VIOLATE OR CANCEL THE PROV/_-IONS OFANY OTHER STATE <br />OR LOCAL LAW REGUTAT/NG CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUT IORIZED BY THE OWNER OF <br />THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION l� MADEAND l COMPLY WITH THE STATE CONTRACTORS LAW 16. 27 <br />RCW AND 296.200 WAC. <br />A"�' <br />/ V <br />FEE �j <br />atura Date <br />✓ / / U� lucN.Iv N51 <br />