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APPLICA ION FOR ELECTRICA PERMIT <br /> CITY OF EVERETT <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> EVERETT, WA 98201 <br /> (425) 257-8810 <br /> PROJECT ADDRESS <br /> %EA/f/oFF moo, 9pn , �Y (� 141a <br /> Owner Mall Address CRY State/Zip PtgM <br /> Tenant Mall Address City Slale2ip prone <br /> /tL F1t=crt.c SdnD/__C'.s/lU✓A.cT &oev, ,c.� lI[ucnn em S'A' 7s— 7 VY 3 3g <br /> Electrical Contractor Mail Address City State2lp Phone <br /> State license Number Contract Price of Work <br /> Res <br /> Proposed Use of Building <br /> Description of Work to Be Done <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 EVLRETT PERMIT WILL BE ISSUED. WAC 296-46.140. <br /> NOTE: WIRING IN NON-D1'IELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <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 8 F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR, <br /> I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINE^ PPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THI,, rYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR NOT, <br /> THE GRANTING OFA PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE t <br /> OR LOCAL LAW REGULATING 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 MADE AND I COMPLY WITH THE STATE CONTRACTORS LAW 11.27 <br /> RCW AND 296.200 WAC. <br /> FEE — <br /> ,�5, ot�� <br /> Signature Date <br /> C�v-1 �+ I ruw,ev e. i <br />