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APPLICA�'ION FOR ELECTRIC� PERMIT <br /> CITY OF EVERETT <br /> BUILD/NG DIVISION <br /> 3200 CEDAR SiREEl <br /> EVEREi7, WA 98201 <br /> PHONE:(415)257-8810 <br /> FAX: (425)157-8857 <br /> (nBO � CAD�i RD ��ei p` �_ <br /> PROJECT ADDRESS <br /> il+ <br /> RAI.PH S�Hu�� Co�/ST zo717 � 3b �vr N�✓ sr,qnhvc�ywRqgz92-- (31�D� 65z- /309 <br /> OwnB! Mail Atldress Cily Stale2ip Phona <br /> Tenant Mail Adtlress City State2ip Phone <br /> ►M � C�II.ITV G��L r0 �n/C 3S/S"S'l�ortTJ'T /=1/-l.�i�- 99Zo/ �S/1S� LS?—yg`!7 <br /> Eleclrical Contra lor Mail Adtlress Ciry Stale2ip Phone <br /> M � C� IN �C003NJ— <br /> Slate License Number Contract Price of Work <br /> S FR <br /> Proposed Use o�Building Contact Person (Plen Review) <br /> Descriptlon of Work to Be Done: W(�� N�W .4 F R � U J /� U b -T/:I2V/l� <br /> '�� <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 FACIIITIES AND ALL HEALTH CARE FACILITIES PLANS W ILL BE REVIEW ED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-UWELLINGS IS REdUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR A�ONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 1,�, INCHES ABOVE THE FLOOR. oVAC 51-20 SEC. 3106(c)2. <br /> ENVIRGIJMENTAL AND OTHER CONTROL RECEP'fACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSiBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED W ITHIN THE REACH <br /> RANGE� OF WAC 51-20 SEC. 3106(b)4 E 8 F AND NOT LESS THAN 36 INCf�CS ABOVE THE FLOOR. <br /> 1 HEREBY'GERTIFY THAT 1 HAVE REAO AND EXAM111NE9 THIS APPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECL ALL <br /> PROVISIONS OF UWS AND OFDINANCES GOVERNING TNIS TYPE OF WORK WILL BE COMPLETED WHETHER SPEClFIEO HEFEIN OR <br /> NOT, THE t7FANTING OF A PEFMIT DOES NOT PRESUME TO GIVE AUTr{ORITY TO VIOLATE OF CANCEL THE PROVISIONS OF ANYOTHER <br /> STdTE OR LOCAL UIW REGULITING CONSTRUGi ION OF THE PEFFOFMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br /> OWNER OF TMIS PROPERTY 70 PEflFORM THE WORK FOR WHICH APPLICATION IS hIADE ANO I COMPLY WITH THE ST.ITE <br /> CONTRACTOFS L11V iH.27 RCW AND 296.200 WAC. <br /> � � / y ^ Z� 0� FEE �� �. <br /> ignature Date <br /> ELECAP(REV 899r � /� t� -��/ . <br />� <br />