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( � <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> , <br /> C/TY OF EVERfTT <br /> BUlLD/NG D/VISlON <br /> 3200 CEDAR SiREET <br /> FVERETf, WA 9Q20I <br /> PHONE:(425)157•8QI0 <br /> FAX: (425)257-8857 <br /> �� � o co �ay ,� ve <br /> PflIO/JECT ADDRESS <br /> ItD LC �/ �J P� �iP�c] �/�-� � �f/7F 7 �.Q/.Q f'C1�:��� <br /> Owner � Mail Atltlress <br /> ���Y Slate2ip Phone <br /> � <br /> Tenant Mail Address Ciry StatelLip Phone <br /> pl�' Q��c�'r��«�;� - 17� � f1-G,_-.av� �'���r� w.�. 9B�ci �s�-� �3s <br /> Electncal CoNractor Mail Address City Stale2ip Phone <br /> /QlS'�U�(;$ � � 9/- ��g �/�(�� `.� <br /> Slate Ucense Number CoNract Pnce ol Work <br /> �� �— � /��. v/�Ll-Nti,G'i� <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description o1 Wark to Be Done: /V CCf// �Qy(/��/�� ) �pU' ���7 � v(���� S���l, <br /> ,�--oli I/�� �'o .r � � � i3/z�� :i�aCc? �' P cT�f�o�r-v' �bv«�' �rc' 1 <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 BY THIS OFFICE. <br /> NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIB�LITY: ELECTRICAL AND COMMUNICATIONS SYSTEM AECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR AI.ONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEFTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SH,4LL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 57-20 SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEFEBY CEFrIFY THAT I HAVE READ AND EXAMINED THlS APPLICAT/ON AND KNOIh' THE SAME TO BE TRUE AND COFRECT. ALL <br /> PFOVIS70NS OF LAWS AND ORDINANCES GOVERNING TH/S TYPE OF WOFK WILL 6E COMPLETED WHETHER SPEClFIED HERE/N OR <br /> NOT. THE GFANT/NG OF A PERMIT DOES NOT PRESUME TO GIVE AUTNORITY TO V/OLATE OR CANCEL THE PROV/SIONS OF ANY OTHER <br /> STATE OF LOCAL LiW REGULATING CONSTFUCT/0N OR THE PEnFORMANCE OF CONSTFUCTION. THAT/AM11 AUTHOFIZED HY THE <br /> OLh�NER OF THlS PFOPEFTY TO PERFORM THE WOFX FOR INHICH APFLICA7/ON /S hfADE AND / COMPLY WITH TNE STA7E <br /> CONTqACTOFS LAW 78.27 FCW ANO 2P6200 WAC. <br /> � o,�s -c�R <br /> _ C/��C/l�}��-� -�� � ,,s - ��—�� FEE <br /> Signature Date <br />■ <br />