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APPLICATION FOR ELECTRICAL PERMIT <br />CITY OF EVERETT <br />BUIL.7ING DIVISION <br />3200 CEDAR STREET <br />EVf.RETT, WA 98201 <br />(425) 257-8810 <br />sa31-75""r sr sE <br />PROJECT ADDRESS <br />1112i2 <br />42elc.Vnlo 60AIS'IiCUCrleAJ <br />/11 " exee,C <br />37Scy <br />f fl/ <br />Owner Mail Address <br />City <br />State/Zip <br />Phone <br />Tenant Mail Address <br />Coy <br />StalsIZlp <br />Phone <br />/1i4RB0vA yo yr Frfircic y1i7-/S " sT SC✓ LJ,,,,�wMAO <br />WA y8037 <br />7"-7ZV"' <br />Electrical Contractor Mail Address <br />Ci y <br />State2ip <br />Phone <br />NAAIsorro ss"-/ <br />770u, O e) <br />State License Number <br />Contract Price of Work <br />Proposed Use of Building <br />Description of Work to Be Done: &$ /1J/,2' A(/Gt✓ /��-r� n.L <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. (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 8 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 OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY 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 MADE AND 1 COMPLY WITH THE STATE CONTRACTORS LAW 19.27 <br />RCW AND 296.200 WAC. <br />Signature <br />13_ 0 FEE <br />Date <br />�5 <br />ntun.cv rssn <br />