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APPLIC�` �iON FOR ELECTRICi ' . PERMIT <br /> CITY OF EVERETT �� <br /> BUILO/NG D/V/S/ON <br /> 3200 CEDAR STREcT <br /> EVERETT, WA 98201 <br /> (415)257-B8>0 ' <br /> ��-r� 6 /j,rm�l✓.�.or ..7..i„F ,3c> 5 <br /> PROJECT ADDRESS <br /> �%7-ql7NT � l`yOF./.�/A�SJ 'JQ�� �✓iN_�ir .^/i9 7�3i-^� ��5 1�'1.-�'a• <br /> O•.vne� Maii Address Ciry Slate/Zip Phone <br /> l7T /`���iFi� ,���e ,� �3� ��a.�v,or �',.�s..s;r �/�9 99xm� <br /> Tenant MailAAdress City Sta!e2ip Phone <br /> C�7 iv/%!4O L G.EG%2!G ,S.3�i �vTaz���r E�f,�s i �i9 ���3 �u�z>x-�si� <br /> Electrical ContraCtof Mail Address Ciry StatelZip Phone <br /> (�.(!/%F_F.C/76/'1G ��, �.Zc - <br /> State License Number Contract P ice of Work <br /> JFFr�G_F <br /> Proposed Use of Buiiding Contact Person (Flan Review) <br /> Description of Work to Be Done: ��.� � � 7�) — �C��S� <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL. FACILITIES UTILIZING STATE FUNDS MUST EE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BEFORE CI7Y 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 i HIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS RFQUIRED 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 ROU i ES OF TR,4VEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> tNVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EDUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRr1VEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E& F AN� NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> 1 HEREBY CERrlFY THAT I HAVE READ AND EXAMWED iH15 AFPLICnT10N AND KNOW THE SAME TO 6E TRUE AND CORRECL ALL <br /> PROVlSIONS GF L7 W5 AND ORDINANCES GOVERN/NG T.41S Tl'PE OF lA'ORK W!LL BE COMFLETED WHETHER SPFGFfED HERE/N OR NO i. <br /> THE GrZ4NTlNG OF A PERM/T DOES NOT PRESUME TO GIVE AUi HORI)Y TO V/0U i E OR C,;NCEL 7NE PROV/510NS OF ANY 07HE.R Si Ai E <br /> OR LOCAL LAW REGULATING COh'S i RUCTfON OR THE PERFORMANCE OF CONSTRUCTION. i HAi I AM AUi HORI�FD 5Y TNE OW7JER CF <br /> 7HI5 PROFERT'!TO PERFOFM THE WORK FOR WNICH APPLICATION 1S MADE AND I COMPLY WlTH THc S i A i E LGNi RAC i ORS L7W 7B2i <br /> RCW AND 296100 WAC. _ <br /> ' � I� _ 0�'� <br /> � / FEE <br /> Signature . Date <br /> CiCCM(4N 6G!) <br />