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APPLICR i ION FOR ELECTRICA� PERMIT <br /> Cl1Y OF FVFRETT <br /> BUILOING DIVISION <br /> 3200 CEDAR SiREET <br /> EVERETl, WA 98201 <br /> PHONE:(425)257-8810 <br /> FAX: (425)257-8857 <br /> .� 1�Z� �--��1�.� `� A�� �-,�,�� � <br /> PROJECT ADDRESS <br /> ��C �i� ��.t � nr,.� n` ��i�-� �n��4 /! l-C' S ' �-r � �v c•� <br /> Owner Mail Address Ciry State/Zip Fhone <br /> �� �� �m1 .�� �_�11 �T��, .'(�.C�� C �Rr1�� �' ( � �� � C� � � �'lll� ..'�� �� 'C'C�L�J � <br /> Tenanl , Mail Address City Stete2ip Phone <br /> ( t�2� <br /> L-�e�A-r, cc•� \ c,t� „�,An� �� P.C') F�J�v V"l �C,Z"l ��"� ����,f� c �.� l ,_ ? n 14c.Ya2 Ho2 `6S`l°3 <br /> ElectriCal Contractor Me Addross �it <br /> '� Y State2ip Phone <br /> c � `=°<, <br /> �� - C �T �k. C'�\ �i��ti� __s�i_QC> <br /> State License Number Contract Price of Work <br /> � � <br /> ��,I�r+ Jrn �� r� ��1C � S `_JaJ / 5 <br /> Proposhd Use of Building Contact Person (Plan Review) <br /> Description ol Work to Be Done: � � � �� ,r„ , �, �c� 1" � r � 1-1� c� ,� y� <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROV[D 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 AND ALL HEALTH CARE FACILITIES PLANS W ILL BE REVIEW ED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS R[QUIRED TO BE IN RACEWAYS, MC OR AC CA6LE. <br /> HANDICAPPED ACCESSI8ILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIDLE ROUTES OF TRAVEL SHALL BE MOUNTED A ti11Nl6fUM <br /> OF 15 INCHES ABOVE THE FIOOR. 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(0)4 E 8 F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> 1 HEFEBY CER77FY THAT I HAVE FEAD AND EXAh71NED THIS APPGCATION AA'D XNOW TNE SAhIE TO BE TFUE AND COFFECT. ALL <br /> PFOVISIONS OF WWS AND OFDINANCES GOVEFNINu THIS TYPE OF WOFK WILL 6E COM1IPLE7ED bYHETHEF SPEClFIED HEAElN OR <br /> NO7'. THE GFANT/NG OF A PEFh11T DOES NOt FFESUh1E TO GIVE AU7HORI7Y TO VIOL.ITE CF CANCEL THE PFOVISIONS OF ANY OTHER <br /> S7ATE OR LOCAL LiIY FEGULiTING CONSTFUC710N OR THE PEFFOFhi.7h'CE OF CONSTFUCTION. THAT/AM1f AUTHOFIZED 6Y i HE <br /> OiM1'NE.4 OF THIS CFEFTY TO PERFOFbI THE WOFK FOR WMCN AFPLlCATION IS hlADE AND I COM1IFLY WIrH ihE SiA'E <br /> GGN i FACTO S Ut i B.27 RCW AND 296.200 WAC. <br /> ��/'. � <br /> � � /"�� /Z�Z C�n' 'l�l <br /> FEE <br /> , � , <br /> '"�;- Signamre�� Date <br /> eLECAP�REV 898� — <br />