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APPLICA �•ION FOR ELECTRICA�. PERMIT <br />CI N OF FVfRETf <br />BUILD/NG DIVISION <br />3200 CEDAR STREET <br />EVERETf, WA 98201 <br />PHONE: (425)257-8810 <br />FAX: (425)257-8857 <br />,F7o /✓a 4.'TiY .�'2d'��.�"`1 <br />PROJECT ADDRESS <br />i <br />/. /�/o � 9 Gr� f 1�c--��i / G�/� - <br />Owner <br />Tenant <br />Eleclricat <br />State License Number <br />Mail Address <br />Mail Address <br />Mail Addrass <br />i�f%—�i c� I/J.9-G—�— <br />Proposed Use of Building <br />City <br />E� ��� <br />City <br />I/c�"�...i-i <br />Cily <br />�'�v/ 2 0 �' <br />7�✓ LJ—�,j o..�— <br />State2ip <br />�/!�'�-�'H �� �c �7/ , <br />SWte2ip <br />. r/,/� <br />Stale2ip <br />'�`-Z.���. �,n <br />Contract Price o} Work <br />Contact Person (Plan Review) <br />Description of Work to Be Done: �/� �� � /'�-e L„ �o �'dL�-s <br />Phone <br />Phone <br />�'�� / <br />Phone <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 CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BYTHIS OFFICE. <br />NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO BE IN RACEWAYS, b1C OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />VJITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BF. 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 E(]UIPNIENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED W ITHIN 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 HEFEBY CEFTIFY THAT 1 HAVE FEAD AND EXAM1IINED 7HIS AFPLlCATION AND KNOIY TNE SAME TO BE TRUE AND COFFECL ACL <br />PFOVISIDNS OF LAWS AND OFDINANCES GOVEFNING THlS TYPE OF WOFK WILL BE COMFLETED WHETHER SPEGFIED HEFEIN OF <br />NOT. THE GRANTING OFA PEFMIT DCES NOT PFESL'hIE TO GIVE AUTHOFITY TO V/OLATE CR CANCEL TNE PFOVISIONS OF A1JY 07HER <br />STATE OR LOCAL LAL'✓ REGULATING CONSTFUCTION OR THE PEFFOFM1fANCE OF CONSTRUCTION. TNAT 1 AM AU7HGFIZED 6Y THE <br />OWNER OF THIS PROPERTY TO PEFFOFhi THE WCF'< FOR bYHICN APPLlCA710N IS MADE AND 1 COh1PLY WITH THE STATE <br />CONTFAC70FS LAW 18.27 RCW AND 296.200 WAC. <br />ELECAP(REV 898i <br />/� �— �v �G� <br />d`—✓`/ � <br />��Oi.'Jrj' 7° 3� <br />�` u'— <br />� � �� <br />FEE <br />.E O l 0 ( -03 F� <br />