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APPLICATION FOR ELECTRICAL PERMIT <br />CITY OF EVERETT <br />BUILDING DIVISION <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />259-8810 <br />�nr, / 1 �� CyZ,'C/� Ceti' ZW.'tW/ -�K� ,4-?i <br />SAIV /`1 i �a� 7 �1 t Cit Stnte/Zip Phone <br />Owner Mail Address y <br />Mail Address City <br />Tenant <br />4 8C � / „rC .Jf L'l�l <br />Electrical Contractor Mail Address city State/Zip <br />Contract Price of Work Proposed Use of Building <br />Project Address <br />Description of Work to Be Done: <br />State/Zip Phone <br />uez -, , / 5l1 <br />Phone State LicenseNo. <br />R ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL <br />NOTE: WAC 296 4E-140 REQUIRES THAT PLANS FO <br />FACILITIESOR HEALTH L,�HE <br />NGTON. APPLICANTS <br />JJOBS MUST HOW THESTA E APPROVEDPLANSI <br />P ANS BEFORE CITY OF E E ET PERMIT WILL BEIISSUEDITH SUCH <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS (MC AND AC, ARE CABLES, <br />NOT RACEWAYS). <br />HANDICAPPED <br />WITHIN ACCESSIBLE EELECTRICAL <br />SPACES OP ALONGACCESSIBLE RCOMMUNICATIONS <br />ROUTES OF SYSTEM <br />LLRECEPTACLES <br />SHALL BE MOUNTED A MINIMUM <br />OF 15 INCHES ABOVE THE FLOOR. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />RACCESSBLE ANGESI OF THEA19910u.B C).USEC. 31065b)16AND NOT LEOSS THAN E36 INCHES ABOVE THL SHALL BE E WITHIN THE REACH <br />E FLOOR. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE <br />AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE <br />COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE G13ANTING OF A PERMIT DOES NOT PRESUME <br />TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br />REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY <br />WITH THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />..ems o <br />X 4l/ / �2 L+—� J ti— 74111 Fee_ <br />Signature <br />Date <br />74 <br />elecapp (3124194) <br />