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APPL19ATION FOR ELECTRICAL PF^MIT <br />CITY OF EVERETT <br />BUILDING DIVISION <br />3200 ::EDAR STREET <br />EVERETT, WA 98201 '259.8810 <br />1-c 7 t" 4/c <br />PROJECT ADDRESS <br /><42S% <br />c� -.w. f Gu tct �oii� 6rlfl7�os/Crc� (t cS!�7 1Lli✓4gs71e 39 dVl-27g7 <br />Owner Mail : dd ass City Statemp Phone <br />Tenant Mail Address City StateTLp Phone <br />p Sn.%e ela <br />riY7lo,/6,c•!(��(,. s SC Nl.�fas�� �. 9d'OS9 <br />Eler •ical Contractor Mail Address —� City StataTLP Phone <br />B -vd e C 077 _TS <br />State License Number <br />Proposed Use of Building <br />Description of Work to Be Done: /IIL ti /O'jp AA. ex, �/L <br />Contract Price of Work <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: WIPING IN NON -DWELLINGS IS REUUIRED TO BE IN RACEWAYS. (MC AND AC ARE CAF'_ES, NOT <br />RACEWAYS. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL F.ND 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 EOUI;'MENT 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 & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />/ HEREBY CERTIFY THAT / HAVE READ AND EXAMINED THIS APPLICA T/ON 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 GIVE AUTHORITY TO VIOLA TF OR CAIJC£L THE PROVISIONS OFANY OTHER STATE <br />OR LOCAL LAW REGULATING CONSTRUCT/ON OR THE PERFORMANCE OF CONSTRUCTION THA' LAM AUTHORIZED BY THE OWNER OF <br />THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADEAND I COMPLY WI"H THE STATE CONTRACTORS LAW 18.27 <br />RCW AND 296.200 WAC. <br />%—/Z FEE <br />Signature Date <br />l �0 //� nrcurary sn,i <br />