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APPLIC•ION FOR ELECTRIG�L PERMIT <br /> ClTY OF EVEREIT <br /> BUILDING DIV/SION <br /> 3200 CEDAR SIREET <br /> EVERETf, WA 9820I <br /> OHONE:(425)257-8810 <br /> FAX: (425)?57-8857 <br /> _ (D � 3 .L , �'it S //'1 C� /� � <br /> PROJECT ADDRESS / <br /> A�C< //` �t/771'rroi^ �el� <br /> Owner Mail Atldress <br /> Cily Stele?ip Phone <br /> Tenent Mail Atldress Cily <br /> Stete/j Ip Phone <br /> /t/Or'/'�ir�1 �it�i'� �Ct�i // �lU "i .��A .��r /1/Lt .���i�3�7�orj <br /> Electrical Conlrector Meil Atltlress ��Z�� �d�s7 y-S7p <br /> City Stale2ip Phone <br /> �vo .-���� dyy rrr <br /> iaie Licenae Number <br /> Contract Price ol Work <br /> Proposed Use ol Building Comact Person (Plan Review) <br /> Dascription of Work to Be Done: _ �fi e Po�,,�r y�o�r <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BF <br /> APPROVED BY THE STATE OF WqSHINGTON. 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 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 ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCF.SSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 57•20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER COtJTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACFS OR A�ONG ACCESSI�LE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51•20 SEC. 3106(b)4 E 8 F AND NOT LESS THAN 36 INCHES ABOVE TH[ FLOOR. <br /> l HEFE9Y CERTIFY THAT I HAVE HEAD AND EXAM/NED fH15 APPL/CATION AND KNOW T.YE SAME 7L7 BE TRUE AND CORRECL ALL <br /> PROVISIONS OF LAWS AND ORO/NANCES GOVERNING THIS TYPE OF WOFK WILL BE COMPLETED WHETHER SPECIFIED HEREIfJ OR <br /> NOT, THE GRANTING C-A PEFMI7 DOES NOT PRESUME 70 iIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION$OF ANV OTHER <br /> 57ATE OR LOCAL L1W FEGU41 T/N� CONSTRUCTION OR 7HE PEFFORMAMCE OF CONSTFUC rION. THAT I AM AUTHORIZEO BY TME <br /> OWNER OF THIS PFOPERTY 70 PERFORh1 7HE WORK FOR WHfCH APPLICATION IS MADE AND I COh1PLY WITH THE STA7E <br /> CONTRACT'ORS LAW iB.2i FCW AND 296.200 WAC. <br /> E o3�3-04 fl <br /> '� 3 7 p FEE <br /> Signature <br /> Date <br /> n ornoioni onn <br />