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( � <br /> APPLICATI�N FOR ELECTRICAL PERMIT <br /> CITY OF EVERSIT <br /> BUILDING DIVISICN <br /> 3200 CEDAR SiREET <br /> EVERETT, WA 98201 <br /> PHONE:(425)257-8810 � <br /> FAX: (425)257•8857 � <br /> 251 Z � � i�`� �v�- <br /> P OJECT ADDRESS <br /> � o2Ra � ni � � �R�Ai� S��^� <br /> Owner Mail nddress Ciry State2ip Phone <br /> � SuPA� RA � <br /> Tenant Mail Address City State2ip �r O Phone <br /> �6�\��(�"��S [ 1�1 All)L0�`'(,�'� L�I ��1 �`[ l`t/lts �� `�O✓v�f.J� 2(cc� OS Z-� <br /> Electncal Conlrector Mail Address City State2lp Phone <br /> n��2 �re tl�n p�i" � �'3oe�� � <br /> Slate License Number Contract Price of Work <br /> 12 s'�+��rtAni�i <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description ol Work lo Be Done: I� � �9C\, � �'1 S� 1 � 'n� `� y„)fl� ��� <br /> � ��-h14� � ��.�'� S� ,m��6�� { -����g�� <br /> �.S c o �.'�4� �Q 2 o ti'S z�, <br /> � <br /> , <br /> N07E: PLANS FOR EI.ECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST (+E <br /> APPROVED BY THE STATE OF WASHINGTO�. APPLICANTS WITH SUCH JOBS MUST SHOW THE STAic <br /> APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296•46-140. ALL OTHER <br /> [DUCATIONAL FACILITIES AfVD ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE, <br /> NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO BE IN RACEWAYS, P4C OR AC CABLE. � <br /> HANDICAPP�D ACCESSIBILITY: ELECTRICAL AND COMMU�ICATIONS SYSTEM RECEPTACLES ON WALLS � <br /> WITHIN ACCESSI6LE SPACES OR ALONG ACCESSIBLE ROUTES OF TfiAV�.L SHALL BE MOUNTED A MINIMUM <br /> OF 15 I�'CHES ABOVE THE �LOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AhD OTHER CONTROL RECEPiACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE AOUTES 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 HEREHY CERTIFY THAT I HAVE FEAD AA'D EXAMINED TH/S APPLICATION AND .'WOiY THE SAME TO BE TFUE AND COFRECL ALL <br /> PROVISIONS OF L4WS AND OROINANCES GOVERNlNG THIS TYPE OF WOFK W1�L Bc COMPLETED WHETHEA SFfCIFIED N,EREIN GR <br /> NOT, THE GRANT/NG GFA PERMIT DOES OT PFESUAfE D4NE AUTHORITI'TO VIDLATE OR CANCEL THE PFOVISIONS OF ANY OTHER <br /> STATf OR LOCAL G7W REGU C TFUCT R THE PEFFOFMANCE OF CONSTRUCTION. THAT I AM AUTHOPoZED BY THE <br /> OWNER OF THIS PFOPER TO P R E WOFK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CJNTRA ' RS LAW 18.27 C AND 2. 'WAC. /� <br /> r / <br /> � � 2 Q � FEE <br /> �c{o3-uq� <br /> Signature Dat� - <br /> ci crnoion�one. <br />