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APPLIQr .TION FOR ELECTRIQ'- ,L PERMIT <br /> C/TYOFEVERETT <br /> 6UlLO/NG D/V/S/ON <br /> 3200 CEDAR STREET <br /> EVERETT, WA 9B201 <br /> (425J 257-BB10 � <br /> 193Z B/!e� <br /> PROJECT ADDRESS <br /> Owner MallAddress City State/7Jp Pbone � <br /> 6UtlQSK��F� ��D�D �vi <�y �irD. ��o� s��wusco ,c.N 4�et0 i <br /> Tenant MailAddreas �City StatelZip Phone <br /> �✓Rfianc� 516�✓ teN� rzSf ✓�STtAKE A✓E. �✓. sraffi� r+t 9pM (�� �BZ��IIID <br /> EIeMrIcalContractof MaOAddreaa CHy SWtelZip Phone <br /> ��trcx�3��►1 .�fe0= <br /> State License Number Con ad Price of Work <br /> �fM� J�/F✓E 7.h�►db1.t�Y✓ <br /> Proposed Use of Building Contad Person (Plan Review) <br /> Description af Work to Be Done: ��s{�'u' f�"r0 tl�� FIC� I��"Y✓MED h✓� f/�� ��f��f, <br /> �i�+�c+�v� n :.�rP fi�� c��cN,�s �l' an,r�t, <br /> � <br /> NOTE: PL4NS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING S7'ATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BEFORE CIIY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLAt�S WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED'f0 BE IN R,4CEWAYS, h1C OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COA7MUNICA'i IONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSI9LE SPACES OR AL04G ACCESSIDLE ROUTES C)F TRAVEl. SHALL BE MOUNTED A MINIMUM <br /> nF 15 INCHES A80VE THE FLOOR. VVAC 51-20 SEC. 3105(c)2. <br /> ENVIRONMENTAL ANU OTHER CONTROL RECEPTACLES AND OTHER OPER,4BLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG F.CCESSIBLE F:OUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E 8 F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> �� <br /> I HEREBY CERl7FY 7NAT! HAVE READ AND EXAMfNEO THIS APFUCATION AND KNOW THE SAME 70 BE TRUE AND CORRECT. ALL <br /> PROVlSIONS OF LA W'S AND URDINANCES GOl'ERNING THIS rYPE OF WORK W2C BE COMPLETED WHETHER SPECIFlED HEREIN OR NOT, <br /> THE GRANTING OF A PERMIT DOES NOT PREF:UME TO GIVE AUTHORI7Y TO VIOLATE OR CANCEf.THE PROVISlONS OF ANY OTHER STATE • <br /> OR LOCAL LAW REGULAT/NG CONSrAUCT10�U OR THE PERFORMANCE OF CONSTRUCTION. r}fAT I AM AUTHURIZE�BY'rHc'OWNER OF <br /> THIS PROPERTY TO P�RFORM TME N'ORK FOR WH/CH APPUC,4TION IS MADE AND 1 GOMFLY WITH THE STATE CONTRACTORS LAW 7l.27 <br /> RCW AND 296.200 WAC.. <br /> �DI�Z�DO � FEE <br /> Si ture Data <br /> ncuwnevw, , �(.l�'J9-Od� <br />