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APPLICAT�ON FOR ELECTRIC ' L PERMIT <br /> C/TY OF EVER� <br /> BUILDING DlVISION <br /> 3�00 CEDAR Si RE� <br /> EVERE7T, WA 9820> <br /> (425J 757-BB10 ' <br /> ` �. ; �i_ c. ;iJ�.,:,,,., <br /> PROJECT ADDRESS <br /> /� -,: i; _ ._ . . <br /> =i,Unv'�, J '- � ; <br /> Owner MailAderesz / Ciry State/Zip Pbone <br /> �Y��/G! / <br /> Tenant MailAtldress City State/Zip Phcne <br /> ' ' �./ „ I <br /> ii.i , '� � -tj CiG .7 iC�/ ������ii/ .� . -;! � / , _ ,�',.. , <br /> Electrical Contractor MailAddress Ciry �State/Lip Pnone <br /> ;i <br /> r:�,'i .:�/ FFG/�L=/1� . . G:-- <br /> State Lir,ense Number Contract Price of Work <br /> ���f i ,�L..l.: , '�.-- _ -- <br /> P�oposr.d Use of Building Conta�; P=rson r=ian nev�e�r) <br /> Description of Work to Be Done: � � F� :C,iJj y' ��<:J r�; <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 STATc <br /> APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTh=.h <br /> EDUCATIONAL FACILITiES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEVJED 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 CN WALLS <br /> i 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 CQNTROL 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 HEREHY CERi1FY THAT I HAVE READ AND EXAM/NE� THIS APFLICFTlON AND KNOW THE SAM,E TO BE TRUt AND COftRECL AL <br /> PROV15fONS OF LAWS ANO ORDINANCES 6CVEkNING THIS rl'PE OF W'ORK W/L:.BE CGMPLEi ED WH�HER S?EdFlED HEnJN Ok fJ0 i, <br /> 17�fE GR,4N7/NG OF A PERMI7'DOES N07'PRESUME TO GlVE AU7'HORITY TO V/0�4TE OR CANCEL THE PROVISIOh'S OF ANY OTY.EF STATE <br /> OR COCAL LAW REGULATI�JG CCNSTRUCTiON OR THE PERFORMANCE OF CO.VSTRUC i ION. THAT l AM AU7HORIZED BY i Nc CWNER OF <br /> T7i15 PRCPE,RTY TO PERFORM TH[LVORK FOR WHICH APPIJCATlON/S MADE A/JO I CCMFLY lN1TN i NE S i ATc CGNTRACTOF.S:.SIN 18.27 <br /> FCW AND 296.200 WAC. <br /> ' � <br /> �/ <br /> � � �� ;' � FEE <br /> j. <br /> ii' <br /> -� �i� � __ <br /> Signature Date <br /> RECUryP�yWI 4 L L ?�(-J� <br />