3010 21ST ST 2018-01-02 MF Import

APPUr "TION FOR ELECTRICAL Pr'3MIT CITY OF EVERETT BUILDING DIVISION 3200 CEDAR STREET EVERETT, WA 98201 y x / y7-. Si OT25978810 PROJECT ADDRESS 414 " 17 ct L9 Sc/vI Mail Address Tenant Mail Address ,�g/gyp S %,Ii eev S - /QG T% I Electrical Contractor Mail Address State License Number roposed Use of Building Description of Work to Be c0 G)r City Statemp Phone 1/P2v City State0p Phone City Lti/�-- Stete0p Sl 9 Contract Price of Work Phone NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES MUST BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 29646-140. NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO BE IN RACEWAYS. (MC AND AC ARE CABLES, NOT RACEWAYS. HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH RANGES OF WAC 51-20 SEC. 31 O6(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. 1 HEREBY CERTIFY THAT / HAVE READ AND EXAMINED THIS APPLICAT/ON AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPEC/PIED HEREIN OR NOT, THE GRANTING OFA PERMIT GOES NOT PRESUME TO GIVEAU7HORITY TO VIoL4 TE OR CANCEL THE PROVISIONS OFANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCT/ON OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE OWNER OF THIS PROPERTY TO PERFORM T.4E WORK FOR WHICH APPLICATION IS MADEAND I COMPLY WITH THE STATE CONTRACTORS LAW 18.27 RCWAND 296.200 WAC Signature C-A /GI -'(/F ` l� Date FEE nECMIflfV "51