615 75TH ST SE 2018-01-02 MF Import

APPLICAT. )N FOR ELECTRICAL EMT CITY OF EVERETT BUILDING DIVISION 3200 C[DAR STREET EVERETT, WA 98201 (425) 257-8810 PROJECT ADDRESS .I L c,. rk C'n. on h/S' 9 00z 0 Owner Mail Address City State/Zip Phone Tenant Mall Address City Statezp Phone 95-3 / 3 /L!"f -C SF /r0///a LLFr -r- LEuE: KX r7- i j/4- 9'Flo 5 33 7-300 6 _ Electrical Contractor Malt Address City State2lp Phone /�C- A n C ;2o / a� - moo � State License Number Contract Price of Work Proposed Use of Building Description of Work to Be Done: F(rL'- NOTE? PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL OR HEALTH CARE FACILITIES MUST BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH RANGES OF WAC 51-20 SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINE( !IS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING UP A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PEF,-ORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE CONTRACTORS LAW 19.27 RCW AND 296.200 WAC. Signature Date FEE RtW fl v'pin