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APPLICATION FOR ELECTRICAL PFRMIT <br />CITY OF EVERETT <br />BUILDING DIVISION <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />(425) 257.8810 <br />22- 32'/z 74171 5E <br />Ey6ee rT- I-✓,4 C+ 8 L o 3 <br />PROJECT ADDRESS 4zS= SSSLv 1"L <br />CCIP'F OSE 22324L 741`4.1:r Sc FyC�4ETT wq RYzo3 _ <br />Owner Mail Address City State/Zip Phone <br />Tenant Mail Address City Stale/Zip Phone <br />ow AP e,L <br />Electrical Contractor Mail Address City State/Zip Phone <br />State License Number Contract Price of Wcrk <br />Proposed Use of Building <br />Description of Work to Be Done /?ep 1R4-e /fir an„ry n wir2e rr -*I ec ,c wIee *0 "0 ,r7— <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITLTIONAL OR HEALTH CARE FACILITIES <br />MUST BE APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE <br />STATE APPROVED PLANS BErORE CITY OF EVERETT PERMIT VVILL BE ISSUED. WAC 296.46-100. <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 ROUTFS 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 & I 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 I COMPLY WITH THE STATE CONTRACTORS LAW 18.27 <br />RCW AND 296.200 WAC. <br />Date <br />[FEE <br />elLGge W tas?) <br />