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CIT'1' OF EVERETT <br />BUILDING DIVISION <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />J si�.� <br />owner <br />APPLICATION FOR EI,ECTRICAL r r,R1�IIT <br />Mail Address <br />City <br />2ss•asyo <br />s�s-�'� <br />State/Zip Phone <br />c�. : i�y�f; oF T.�.r,v5/�cx-�i7%�•�- 99 30 �L'�-GlKPN k.�Y G�r��r'- c��¢ 0�8'/-� %sf <br />Tenant � Mail Add�ess City State/Zip P6oue <br />�/t-i�rr �L�C. �.?/� �(/i,. n�,�/% ST Z5S.94<•,F.f� !s-if Y��'.�7 3%/-8".�3u fitineeZ/3y/iT <br />Electrical Contracror Mail Address City State/Zip Phcne State LicenseNo. <br />��,OoZJ Ga.•�ain , <br />Contract Price of Work Proposed Use of Building <br />`�%.3G ,��r7cGa2,ee� Gr�r�i, .��'/JG-. G. <br />Projecl Address � <br />Description of Work to Ba Done: 5 e!��/�� �•2+��o bt'= GS�C-�Si���- T�`N.f•vJ' <br />S,�l�C�`. Gt� .i�t-� /(j�?t� OF f /� -CS ,. /I!U ��-!5`�4'2'.vcL .<S <br />/3 ���v � �`�'� �, �Q/ocrP �u,v3 �i(/1�, <br />NOTE: WAC 296-46-740 REQUIRES THAT PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, INSTITUTIONAL <br />OR HEALTH CARE FACILITIES BE APPROVED BY THE STA'i E UF WASHINGTON. APPLICANTS WITH SUCH <br />JOBS MUST SHOW THE STATE APPROVED PLANS BEFORE CITY OF EVERET PERMIT WILL BE ISSUED. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN METALLIC RACEWAYS IMC AND AC, ARE CABLES, <br />NOT RACEWAYS). <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />\NITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />OF 15 INCHES ABOVE THE FLOOR. <br />ENVIRONNIENTAL AN� OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />ACCESSIBLE SPACES OR AL,ONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br />RANGES OF THE 1991 u.B.C. SEC. 31061b14 AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINECI THIS APPLICATION AND KNOW THE SAF.ic TO BE TRUE <br />AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WOR'(. WILL BE <br />COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOl' PFlESUME <br />TO GIVE AUTHORITY TO VIOLATE OR C.4NCEL Th(� PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br />REGIILATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY <br />WITH THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />X <br />Signature <br />��� �" .�Z � �l� <br />Date <br />Fee �� / � <br />elecaFP (3!?4194) <br />