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CITY OF EVERETT <br />BUILDING DIVISION <br />3200 CEDAR S1 nEET <br />EVERETT, WA 98201 <br />APPLIr'1TI0N FOR ELECTRICAL F"'iMIT <br />2 )') 1�) S 1 Sf <br />MAJCroL D c <br />1. <br />Owner Mail Address City StateTLp Phone <br />Tenant Mail Address City bra awp rnuna <br />J7F,>b) F t-r-r,f11C /&q_? <br />Electrical <br />(_).7J.-ilk LS12t Jr' <br />State License Number <br />Proposed Use of Building <br />Description of Work to Be <br />Mail Address ' <br />City State/Zip 2 s Z Php y <br />Contract Price of Work ftTT)7 <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. LMC AND AC ARE CABLES, NOT <br />RACEWAYS. <br />ACCESSIBILITY:HANDICAPPED ELECTRICAL COMMUNICATIONS SYSTEM RECEPTACLES <br />WITHIN ACCESSIBLE SPACE OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BEMOUNTED A MINIMUM <br />OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2 . <br />ENVIRONT WITHIN <br />ACCESSIBLE LNTAL SPACES ND OTHER CONTROL OR ALONG ACCESSIBLERECEPTACLES AND OTHEOPERABLE ROUTS OFT TRAVEL SHALL BE MOUNTED WITHIN NTHE REACH <br />RANGES OF WAC 51.20 SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. 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 AM AUTHORIZED BY THE OWNER OF <br />THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADEAND I COMPLY WITH THE STATE CONTRACTORS LAW f6.27 <br />RCW AND/4.96.2p0 WAC. <br />61c/ / S 7 <br />Signature <br />FEE �S <br />5&//d n[cM.(vINS, <br />