919 58TH PL SW 2016-01-01 MF Import

APPLI..ATION FOR ELL,CTRICAL i .,12MIT CITY OF EVERETT BUILDING DIVISION 3200 CEDAR STREET EVERETT,WA 98201 4259.8610 PROTECT ADDRESS `J�l �L� fA(e`� 1-2 �' A1) (J ✓� 7(11 Elh-T II AJ4- Owner Mail Address city State/Zip Phone Tenant Mail Address City State/Zip Phone SIV - :3 Electrical Contractor Mail Address City State/Zip Phone State LicenseNo. �4 -)W DU /`eF_ Contract Price of Work Proposed Use of Building Description of Work to Be Done: (1)C1 AIN)f �2,ePy� ri t'lw(e (LRI /Lib .NOTE:WAC 296-46-140 REQUIRES FOR ELECTRICAL EDUCATIONAL, ONAL OR HEA TH CARE FACIL IITIEESBE A PROV D BYTTHESTATE OF WASH)GTON. APPLCANTSSW WITH )SUCH JOBS MUST SHOW THE STATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT WILL BE ISSUED. NOTE:WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS IMC AND AC, ARE CABLES, NOT RACEWAYS). ACCESSIBILITY;HANDICAPPED WITHIN ACC SSIBLECOMMUNICATIONS SYSTEM PACES OR ALONG ROUTES TRAVEL AVELSHALL 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 ACCESSRANGES)OF WAC 51 -0 SEC. 31 6lb)4S OR ALONG ESSIBLE ROUTES OF E&F AND NOT LESS THANEL SHALL BE MOUNTED WITHIN THE REACH 36 INCHES ABOVE THE FLOOR. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. j x2_7 Fee—— M ignature Date elttrpp(1711.7/94)