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APPLICAiyON FOR ELECTRICAL r'ERMIT <br /> CITY OF EVERETT <br /> BUILDING DIV/SION <br /> 3200 CEDAR STREET <br /> EVERETl, WA 9820I <br /> PHONE:(425)257-8810 <br /> FAX: (425)257•8857 <br /> � S�1 L��('�-;�',l�.i� �C' (_ �l,r.��1 �'t���1 <br /> PROJECT ADDRESS <br /> l< < <r -� 1� ��� l � I Irl�� Sc' c�� c�5 c l� ,. L�l�> a5�1- C.oc�`1�1 <br /> Owner <br /> Mail Adtlress Cily Slete2ip Phone <br /> Tenant Meil Address City Slate2ip Phone <br /> ��llt1u�. U��)1l�(-" LC1 � �� � •.\' IY�iC`KY.� F� (.('-1��t.v (- `Y:i��. r,`n ��f�dJ<.- <br /> Electrical Conlractor Matl Atldress Cny Stale2p Phone <br /> State License Number Contract Prica ol Work � <br /> i�, �. � : . , _ ��c%•- ����- Il« _—= a <br /> Proposed Use ot BUilding Contact Person (Plan Review) <br /> Description ol Wcrk to Be Done: L�(�� �'t� �l���, �+� '4 � ` t' fZ �'' �L� �� �,�x `�`� - �� <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 /> EDUCAT ONAL FACILBITI 9 AND ALL�HEALTH CAT E FACILITi SI PLANS IWSLLE E RE EW ED BY THIS OFFI OTHER <br /> NOTE: WIRING IN NON•DWELLINGS IS REOUIRED TO BE IN RACEWAYS, MC OR AC CABL[. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MIN'�IUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRON�4ENTAL AND OTHER CONTROL RECEPTACLFS AND OTHER OPERABLE EQUIPMENT WITHIN <br /> RANGES OF W�C 5E 20 S C�N 6(b)4CE & FI AND OT LES�S THAN 36LINCHES ABOV�EUTHE�LOOR IN THE REACH <br /> 1 HEFEBY CERTIFY THAT I HAVE FEAD AND EXAMINED THIS APPLICATION AND KN06V THE SAM11E 70 BE TRUE AND COFRECT. ALL <br /> PROVISIONS OF LAbVS AND OFiDINANCES GOVEFNING THIS TYPE OF WORK WILL BE COMPLETED WHETHE.4 SPECIFIED MEREIN OR <br /> NOT, iHE GRANTING OF A PERMIT OOES NOT PAESUHIE TO GIVE AUTHOFITY TO VIOLATE OF CANCEL THE PFOVISIONS OF ANY OTHER <br /> STATE CF LOCAL L/1W FEGULATING CONSTFUCTION OR THE PEFFORMANCE OF CONS7RUCTION. THAT 1 AM AUTHOFIZED 6Y TNE <br /> OWNER Of THIS PFOPEFiT1' TO PEFFORM THE WOFK FOR WHICH APFLICATICN IS hiADE AND 1 COMPLY WlTH THE STA7E <br /> CON7RAC70F5 LALV iB27 FCIV AND 2P6200 WAC. <br /> % -,_� FEE <br /> .--- - G- <br /> ,; <br /> -�, -��=,�� c ������.�.- , � <br /> Sipnalure Da�e <br />� ELECAP(REV B98i ,� O I ��_C I o� <br />