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APPLICATION FOR ELECTRICAL PERMIT <br /> GT1'OF fVFRE1T <br /> BUILDING DIVIS/ON <br /> 3200 CEDAR STREfT <br /> fVFRE1T, WA 98201 <br /> PHONE:(425)257-8810 <br /> fAX: (425)257-8837 <br /> —.J �� � ���Q�C6 l.flGi <br /> PR T ADDRESS <br /> / /�� C�%i � <br /> Owner Mail ACtlress <br /> ��4' State2ip Phone <br /> �S7ftF� <br /> Tenant � Mail Address City StatelLip Phone <br /> y �l'Cll'�-Q/7 !//P��/'�i •n/ � ��3 L �/'l �L'f�rl�wl nn,J lili/Y /liVLO �y <br /> ElectncSfContractor MailA ess � ��ZS� Z y�"� <br /> Ctly State2iP Phone <br /> �l���2�F.s�:�91�F ���s� <br /> State Li�ense Number C Mract Price ol Work <br /> .—(T�3 l-fn'y'r�M��- �C�%- l.rt-1��U!'y <br /> Proposed se of Bwlding Contact Person (Plan Review) <br /> Description of W ork to Be Done: � �� (�j� ��5 �S�y�s A��/�`���,� t�j�Q / ��// <br /> � d I� ( b / CCCH.rf I�CI'N d � <br /> u <br /> �'f S <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 CI7Y OF EVERETT PERMIT Y✓ILL BE ISSUED. WAC 2?6-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACIUTIES PLANS WILL 8E REVIEI'✓i.D BY THIS OFFICE. <br /> NOTE: WIRItJG IN NON-DWELLINGS IS REQUIRED TO 8E IN RP.CEWAYS, MC OR AC CABLE. <br />, HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMA4UNICATIONS SYSTEM R[CEPTACLES 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 /> RANGES OF WAC 51•20 SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREdY CER7/FY 7'HAT! HAVE READ AND EXAMINED THIS APPL/CATION AND KNOW THE SAME TO BE TFUE AND COFiRECT. ALL <br /> PROV/SIONS OF LAWS AND ORDINANCES GOVLRNING THIS TYPE OF WOFiK W/LL BE COMPLETED WHE7HER SPE�,IFIcD HERfIN OR <br /> NOT, THE GF.;NTING CFA PEAMl7 DOES NOT PRESUME TO GIVE AU7HOFITY TO VIOL4TE OR CANCEL THE PFOVISIONS OF ANY OTHER <br /> STATE OR LpCAL 41W FEGULA7/NG CONSTFUGTIO/J OR THE PEFFORMANCE OF CONSTFUCTION. THAT 1 AM AUTHOF/ZED BY THE <br /> OWNER OF TH/S PFOPER7Y TO PEFFORM THE WORK FOR WHICH APPLICATION /5 MADE AND / COMPL y WITH 7HE STA�E <br /> CON7'FACTORS LAW 18.?i RCW AND 296.200 WAC. <br /> J" <br /> i <br /> � ,�7 i <br /> � �u �L L���H�l// I� I� FEE <br /> SgnaWre Datc <br /> , <br /> C�crnororv�n� <br />� — <br />