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� C <br /> APPLICATION FOR ELECTRICAL PERMIT <br /> C11Y OF EVERETf <br /> BUILD/NG DIVISION <br /> 3200 CEDAR SIREET <br /> EVEFEIi, WA 98201 <br /> PHONE:(425)257-8810 <br /> FAX: (425)257-8857 <br /> ��'0 � ��-O`� <br /> PROJECT ADDRESS <br /> Lbc.�v� ��� i � �. l-{-�c-� 2 U� r 3�=' ,ac� st �srrr�s yZs 33Y /`IiS <br /> Owner � Mail Address City Slate2ip Phone <br /> Tenant Mail Address City Sta�e2ip Phone <br /> �'C.i1,o.1� L,u.'c- IN�- <br /> Electrical ConlradOf Mail Address City Slate2lp Phone <br /> State License Number Contract Price o(Work <br /> r�-� <br /> Proposed Use ol Building Conlact Person (Plan Review) <br /> Description of Work to Be Done: ��1� Pa""'�'� r J� 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 29G•46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL 8E 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 ACCESSIBLE AOUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES A60VE THE FLOOR. WAC 51-20 SEC. 310'3(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEP'AC�ES AND OTHER OPERABLE EG'UIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROU'fES OF TRAVEL SHALL BE MOUNTED WITHIN 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 NEREBY CERTlFY THAr 1 HAVE READ AND EXAMINED THIS APPLICATION AND KN04Y THE SAME TO BE TRUE AND COFRECT. ALL <br /> PROVIS/ONS OF LA WS AND OROINANCES GOVEANING THIS TYPE OF WOFK WlLL 6E COMPLETED WHETNER SPEpFIED NEREIN O.R <br /> NOT, THE GFANTING OF A PEAMIT DOES NOT PRESUME TO GIVE AUTHOFITV TO VIOL4TE OR CANCEL THE PAOVfSIONS OF ANY OTHER <br />� STATE OR LQCAL LAW REGULATING CONSTFUCTION OR THE PEFFORMANCE OF CONSTFUC7/0N. THAT I AM AUTHORIZED 8Y THE <br /> OWNEF OF 7H/S PFOPERTY TO PERFORM THE WORK FOR INNICH APPLICATlON IS MADE AND 1 COMPLY WITH THE ST.iTE <br /> CONTRAC70R5 LAW 78.27 RGW AND 296200 WAC. <br /> L�'oy ,�� � <br /> �� 05- 1�'� � FEE <br /> Signature Date <br /> I <br />