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APPIICA�. .ON FOR ELECTRIrAI� �ERMIT <br /> CITY OF EVERETT <br /> BUfLDING DIVISION <br /> 3200 CEDAR STREfT <br /> EVERE1l, WA 9B20I <br /> PHONE:(425)257-8810 <br /> FAX: (425)257-8857 <br /> �S1a f.n\bL, ►�luc.. , ��ure�- <br /> PROJECT ADDRESS �'n CJZ j , <br /> �nrr�. l,�J.,'iir. �S� C'nII��T iP �.�Q.l�C�T u�R �5i'�i( 3oy- ,�`ta3 <br /> Owner MailAddress Ciry State2ip Phone <br /> �-1� E n p�,����.;� au��n �� �c�5�o� 5�,�,`�. w�a � m <br /> Tenant Mail Address City State2ip Phone <br /> `�c,�r-r���;�c 1r�c� ��� �un� � ��s� �'��e� .tk w� �i �as-asa-�t�� I I <br /> Elect�cal ConlraCtor Mail Atldress City State2ip Phone <br /> 3��a�����:�,���'� I�o • � <br /> State License Number Contract Price ol Work <br /> �� , `, �r�,�; ��r, cJ � I 1 <br /> Proposed Use ol Building Conlact Perscn {Plan R view) <br /> Oescription of Work to Be Done: ���(�� �� �1'�C .�� �� ' i.� I 1� <br /> �1�u�i�i.�c�.�s r'� ����� c�l��, a �n �q�;� �-�� n f� we�i-' <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNOS 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 APJD 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 ACCESSIBILITY: ELECTH!CAL 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 /> ACCE5SIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED W ITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHE� ABOVE THE FLOOR. <br /> 1 HEFEBY CERTIFY THAT i HAVE READ AND EYAM1P,NED THIS APPLICATION AND KNOW THE SAME TO BE TFUE AN� COFRECL ALL <br /> PFOVlSfONS OF I.AWS AND OFDINANCES GOVEFNING THlS TYPE OF WOFK WILL 6E COMPLETED WHETHER SPECIFfED HEFElN OR <br /> NOT, TNE GFANTlNG OF A PEFh11T DOES N07 PFESUM1fE TO GIVE AUTHOFITY TO VIOLATE OR CANCEL THE PFOVISIONS OF ANY OTHEF <br /> STATE OR LOCAL L4W FEGULr1TING CONSTFUCiION OR THE PEFFOFh1ANCE OF CONSTqUCTlON. THAT 1 AM AUTHOFIZED BY THE <br /> .{' OLVNER OF THIS PROPERTY TO PERFOFSf THE WOFK FOfl IYHICH AFPLICdTlCN IS hfADE AND 1 COAIPLY WI7H THE STATE <br /> CONTRACTCFS LAW l827 RCW AND 296.200 WAC. <br /> ` FEE <br /> `�i ��. l (��.���.�,�,� �1�� �� 4 <br /> Signature �ate <br /> eoro�l-o 3 Z - <br /> ELEC"P�REV 898� <br />