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APPLIf"1TION FOR ELECTRICAL P" 3MIT <br />CITY OF EVERETT <br />BUILDING DIVISION <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />�5 <br />p,�! <br />(0 3 <br />Owner <br />Tenant <br />Electrical Contractor <br />Mall Address <br />S 6 ?-' 4Y- <br />Address <br />Ateil Address <br />�/,T clef m ,Szc(e A,AL AK�6 <br />State License Number <br />2ATSBLA <br />Proposed Use of Building <br />Description of Work to Be Done <br />City <br />Gv.rr f+ <br />city <br />City <br />Stete/Zp <br />k 15 <br />State/Zip <br />SlataIZP <br />wA 1 <br />Contract Price of Work <br />Phone <br />Phone <br />Phone <br />360 7w- <br />8Z/ 9 <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 REOUIRED 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 />'HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECTT, ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR NOT <br />THE GRANTING OFA PERMIT DOES NOT PRESUME TO GIVEAUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OFANY OTHER STATE <br />OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AMA UTHORIZED BY THE OWNER OF <br />THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADEAND I COMPLY WITH THE STATE CONTRACTORS LAW I8.27 <br />RCW AND 296.200 WAC. L' <br />FEE <br />Signalure Date 'n <br />,5 / �� fllcM lV N!1 <br />