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APPLICti �'ION FOR ELECTRICR� PERMIT <br /> CIIY OF EVERETT <br /> BUILD/NG DlV/SIDN <br /> 3200 CEDAR STREEl <br /> fVEREIT, WA 4d201 <br /> PHONE:(425)257-0C 10 <br /> FAX: (425)257-AL57 <br /> ".�12Z. Co(�aY �4ite_ <br /> PROJECT ADDRESS <br /> �a�.l �,�,�; 5 (5a� {��,�,�;c d� C-"+�.r'¢i-� w� 9�2d( y7_5-2�T-�ISI <br /> Owne� Mail Atldress City Sfate2ip Phone <br /> Tenant Mail Address Ciry State2ip Pbone <br /> i�e-es�a.., El4i-��c 2�.3c� d��..�s �v.�,T�tt �-982a3 4�5-29�`�-76� <br /> EleclriCal Contraclor Mail Atltlress Ciry State2ip Phone <br /> t�R ESrE c,2�,u.n i 7dd� <br /> State License Number CoMract Price of Work <br /> M,�(�-���.�.,:I � <br /> Proposed Use ol Building Contact Person (Plan Review) <br /> Description of Work lo Be Done: �KS'�« 5" ��yr�F,tiC(����S S t ����'S <br /> vi,.cl 7 et�era�ekc�� L;s�{�f` n._ Xi � (w�s�l�.'�'��no , <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF bVASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHC1W 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 CP.RE 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 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 RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES 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 /> 1 HEFEdY CEFi/FY THAT! HAVE FEAO AND EXAM/NED THIS APPUCAT/ON ANO KNOW THE SAME TO BE TFUE AND COFRECT ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS tYPE OF WORK WILL BE COMPLETEO WHETHER SPEClFIED HERE�N OR <br /> NOT, THE GFANtING OF A PEflMIT DOES NOT PRESUME TO GNE AUT!ICFITV 70 VlOLATE OR CANCEL THE PROVISIONS OF ANY OTHEA <br /> STATE OR LOCAL LAW REGUUITING CONSTRUCT/ON OR tHE PEFFORMANCE OF CONSTRUCTION. rHAT I AM AUTHORlZED 6Y 7HE <br /> OWNER OF 7HIS PROPERTY TO PEFFORM THE WORK FOR N'H1CH 4PPUCATION IS MADE AIJD I COMPLY WITN THE 5'ATE <br /> CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br /> C �Z �Gt�v <br /> ���-��- �z -z8-oa FEE �� � <br /> Signature Date <br /> ELECAP(REV 899� <br />