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� <br />APPLICATION FOR ELECTRICAL PERMIT <br />CIIY OF EVERETf <br />BUILDING D/VISION <br />3200 CEDAR STREEi <br />EVERETf, WA 98201 <br />PHONE: (425)257-8B10 <br />FAX: (425)257-8857 <br />��4 c ,3cv�rcc.y i.3W,� <br />PR JEi:T ADDRESS <br />,�II;AM S'AL� <br />Owner <br />�o��� � <br />Mail Adtlress <br />Cily <br />F�eve� GvrF-SN- � <br />State/Zip <br />s-Nd3-G�6�1 <br />Phone <br />Tenant Mail Adtlress Cily Stale2ip Phona <br />No,v� <br />Eleclricai Contractor Mail Adtlress City Stale2ip Phone <br />�`B� C`'J(.vve� <br />State License Number <br />�VEw t=i�"ii � Y �ti �rti fypD� �o /� <br />Proposed Use ol Building <br />Description of Work to Be Done: <br />2�� SS T-T <br />Cantract Price of Work <br />Contact Person (Plan Review) <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 �AUST SHOW THE STATE <br />APPROVED PLANS BEFORE CITY OF EVERETT PERMI7 WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE F.4CILITIES 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 ACCESSIB�E SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />OF 151NCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EOUIPMENT WITHIN <br />ACCESSIBLE SPACES 09 A�ONG 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 />I HEREBY CERTIFY THAT / HAVE READ AA/D EXAMINED THiS APPLICAT/ON AND KN04V THE SAME TO BE TRUE AND CORRECT. ACL <br />PROVISIDNS OF LA{NS AND URDINANCES GOVERNING TNIS TYPE OF WOFK WILL BE COMPLETED WHETHER SPEGFIED HEREIN OR <br />NO'f, THE GRANTING OFA PERMIT OOES NOT FRESUME 70 GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISlONS OFANYOTHEA <br />S7ATE OR LOCAL LiW REGULATING CONSTFUCTION OR THE PEnFORMANCE OF CONSTFUCTION. TMAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PFOPEATY TO PERFOHM THE WORK � R WHJ.(,'H APPCICATICN IS M11ADE AND I COMPLY WITH THE STA7E <br />CONTRACTOFS LAW 18.27 FCW AND 296.200 WAC. <br />, Ib�O � / <br />f�� <br />SignaWro <br />�oi <br />Date <br />FEE <br />