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APPLICNTION FOR ELECTRICAL PERMIT <br /> CITY OF fVERFTT <br /> BUILDINt�DlVISION <br /> 3200 CEDAR STREET <br /> EVFRF77 WA 98201 � <br /> PHONE:�425)257-B810 <br /> fAX: (425)257-8857 <br /> 3��n C��>�,�Y <br /> P�R+ OJECT ADDRESS <br /> ,9/R_� �dt'n�A L � '3�52 Ei`7 �L� 9�2a� oZ.`��/3.��{ <br /> Owner Mail Adtlress City State/Zip Phone <br /> �.�33'E <br /> Tenant Mail Address City StatelZip Phone <br /> ��l�AI i � L`(�'r__ //��r lT� � i <br /> Electrical Contractor Mai�Atltlress City Slate/Zip Phone <br /> Stale License Number Contract Pnce of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of�Vork to 8e Done: �� � �-`C.n-jO S'�,�L/% �� <br /> l� <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED 8Y THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVcRETT 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: W IRING IN NON-DWELLINGS IS pEQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTFICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSi�LE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE TH[ FLOOR. WAC 51•20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALCNG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 aEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> !HEFEOY CERT/FV THAi I HAVE READ AND EXAMWcD THIS APPLICATION AND KNOW THE S�ME TO BE TRUE AND COFRECL ALL • <br /> NOT,VTHE GFA�NT,'NG OFA PfFMIT DOES fJ0 PPESUME TO GIVEPAU�HOF�Y TO/VIOLA E OR CANCEL�HE PFOV/5lONS�OF ANROlTH�R <br /> StAT'E OF LOCAL L4W FEGULA7ING C'ONS7RUCTION OR THE PEnFOFMANCE OF CONSTFUCT/ON. THAT I AM AUTHORIZfD 8Y THE <br /> OWNE� OF THIS PROPERTY TO PcFFORM THE WORX FOR WHICH APPLlCATION IS M11ADE AND I COh1PLY WITH THE STAiE <br /> CON7P.qCTORS LAIh�78.27 RCV✓AND 296.200 INAC. <br /> C�ZG7-�S3 <br /> ✓� i � �S n 2— FEE 3 J <br /> Signature � Date <br />