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ApPLICAI ION FOR ELECTRICAL PERMIT <br /> CITY OF fVERE1T <br /> BUIIDING D!V!SlON <br /> 32A0 CFOAR STREET <br /> EVERETT, WA 98201 <br /> PHONE:(425)257-aA 10 <br /> FAX.• (425)?57•8857 <br /> 2 `t 3 °► C�� r�Y �,� , <br /> PROJECT ADDRESS <br /> Ao✓n.�� ����� G�n Ilo s�or�v P��..� (�,,� ,�,,�, �sn G 95t�1 (7� 1�7�f�zz4 <br /> Owner Mail Address Ci1y Slate2ip Phone <br /> �TG- - Ev�,^SZT 793°I �uSt �E. �ufl� 11�A 987� � ��{-tS�33�i Q{qo <br /> Tenant Mail Atldress City State2ip Phone <br /> ��Gl�aGu �c . �j,sSS'SE 3(��'i Ss. Muu.zsl,..�WA yoo4-o (Z�,4) 236-(�oC�q- <br /> Eleclncal Confractor MaA Atldress Gty Slate2ip Phone <br /> 4��cV -.1G�1- 3�4 C�G� ` I�, �S� <br /> State License Number Contrect Price ot Work <br /> 0�—FO C£ t� oC[u!n.yC`f ) �oS SCc>J� <br /> Proposed Use of Bwiding Contact Person (Plan Review) <br /> �escription ot Work fo Be Done: _ I nC}�tv1 �4�„i V�l�g �_� f{f�q �f/���1 Sy Sd[.,1 <br /> +`1 <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <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 /> PANGES OF WAC 51•20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR, <br /> I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP.�LICATION AND KNOW iHE SAME 70 BE TRUE AND COFFECT. ALL <br /> PFOV/SIONS OF LAWS ANO OFO�NANCES GOVERNING THIS TYPE OF WOFK W/LL BE COI�IPLETED WHETH�.q SPEC/FIED HEREIN OR <br /> NOT. THE GRANTING OF A PERM/T DOES N07 PRESUA4E 70 G/VE AU7HOFITY TO VIOL4TE OR CANCEL THE PFOVIS/DNS OF ANY OfHER <br /> STATE OR LOCAL U1W REGULATING CONSTRUCTION OR THE PEFFORMANCE OF CONSTRUCTION. THAT I AM AUTHOklZED BY TNE <br /> OWNER OF TH/S PROPEFTY r0 PERFORM THE WORK FOR WHfCH APPL/CAT/ON IS A4ADE AND I COMPLY WITH 7HE S;A7E <br /> CONTFACTORS CAW 18.27 FCW AND 296.20G WAC. <br /> � �G/G�3 -����' <br /> �J��� � 3 79'a � FEE <br /> Signalure Date ��� <br /> CI crnoiorv one. <br />� <br />