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CITY OF EVERETT <br />BUILDING DIVISION <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />APPL'^ATION FOR ELECTRICAL r^RMIT <br />K'D, 5 T 5 E. <br />/�ELFc/ KRAu7_ dN E i /� 5-4"'F % 81295 <br />Owner Mail Address city statafzip Phone <br />Tenant Mail Address <br />city <br />5tate/np <br />rnone <br />i.JAZkrR s Tiylc. $Y3v SuUeRRc e <br />Le �P�f� �T� {-e/ <br />t u rs 9RZ 52 <br />log/ <br />Electrical Contractor Mail Address <br />city <br />StefeTLP <br />Phone <br />watkte''K oCle cT /c7eo,o0 <br />State License Number Contract Price of Work <br />Proposed Use of Building <br />Description of Work to Be Done: r- G//proge t7lec 7-.Vtc l ai1/EC <br />/Lin h7[r <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 REQUIRED TO BE IN RACEWAYS. IM''. AND AC ARE CABLES, 140T <br />RACEWAYS. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM Rl'.CEPTACLES ON WALLS <br />WITHIN ACCESSIBLE SPACES OF ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />OF 15 INCHES ABOVE THE FLOOR. WAC 51.20 SEC. 3106Ic12. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNDED WITHIN THE REACH <br />RANGES OF WAC 51-20 SEC. 3106(W4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />I HEREBY CERTIFY Ti!AT L HAVE READ ANO EXAMIA ED THIS APPLICA TLON ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES r0VERNING THIS TYPE OF WORK WILL P_ COMPLETED WHETHER SPECIFIED HEREIN OR NOT, <br />THE GRANTING OF PERMIT DOES NOT PRESUME TO f. r'.'EA UTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE <br />OR LOCAL LAW REGULATING CONSTRUCTION OR THi: PER,O RMA NCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE OWNER OF <br />THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPI.ICIf TION IS MADEAND l COMPLY WITH THE STATE CONTRACTORS LAW 18.27 <br />RCW AND 296.200 WAC. <br />Signature <br />%3 yGi FEE <br />Date <br />5 J <br />nfcur sea <br />