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AF'F'LI(:A I IUN fpR ELEG I KICAL PERMIT <br /> C/TYOFEVERETT (' I <br /> BU/LO/NG D/V/SION <br /> 3200 CEDAR STREET • <br /> EVERETT, WA 9B20i <br /> (425J 157-B8f0 <br /> , � <br /> 3�a � � I <br /> PROJECTADDRESS / <br /> .�� r �fL-��"'���/6 ��,�5 L('�� J�i J �JI !Nj✓ �Jo7�J� �JA"-r.��.�� , <br /> Mail Address <br /> ��ty Slate2(p Phone <br /> Tenant Meilqddress <br /> `�� ! � �nY StalefZfP Phone <br /> h- <br /> ElectricalContractor MailAddresa Clty SfalelZ)p Phone <br /> State Llcense Number �ys% a a� a <br /> Contrect Price of Work <br /> ���ic� r /'!'�`` 6%��ti <br /> rrapoSed Use of Butldin ' Contact Person (Plan Review) <br /> Descriptlon of Work to Be Done: (�//�[ (� NFA ��i�,�� <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 29E-q6-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWGD BY THIS OFFICE. <br /> NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO BE IN R,4CEWAYS, 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 GiHER OPER,4BLE EQUfPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TR,4VEL SHALL BE MOUNTED WITHIN THE REACH <br /> . R.4NGES OF WAC 51-20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREBY CE4TIFY THAT 1 HAVE READ AND EXqMINED THIS APPGCATION AND KNOW THE SAME TO BE TRflF. AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORD/NANCES GOVERNING THIS TYPE OF WORK WILL 8E COMPLETED W'rIETHER SPECIFIED HERElN OR NOT, <br /> THE GRANTING OF A PERMIT DOES NOT'PRESUME TO GIVE AUTHORITY 70 VIOLATE OR CANCEL THE PROVISlONS OF ANY OTHER STATE <br /> OR LOCAL LAW REGULATING CONS7'RUC710N OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZEO BY THE OWNER OF <br /> THIS pROPERTY TO PERFORM THE 4i'URK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE CONrRACTORS LAW 18.27 � <br /> RCW AND 296.200 WAC. <br /> I <br /> '� i."v 0 <br /> — �� � ,�� /6-oa FEE <br /> Signature Dale I <br /> t <br /> nce.wtneveoe� <br /> � �ct�-c�o9 <br />� <br />