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c � <br /> APPLICATION FOR ELECTRICAL pER1Vl�T <br /> CITV Of EVEREIT <br /> BUIfDING DIVISION <br /> 3200 CEDAR STREET <br /> EVEREIT, WA 98201 <br /> PHONE(425)257-8B 10 <br /> FAX: (425)257•8057 <br /> 5I� C.��e-r��a� �l� �"�. C7, <br /> PROJECT ADIJRESS <br /> �R�I�S i^'LI�+C-E � 1�3C., 2'13�� `��- r�ve.. ��-S{�dC�1 ��Wl-C:c:Y,(;S(Qf'}� �gp 1� <br /> Owner Mail Addross City Slale/Zip Phona <br /> I'Y�i.� Sc�tC�(-accY(.rd �Ton�J 51z. C��e � �� U�t.�� Ste..C-s �u-P.��� , <br /> Tenani IAail Address cnY sin�erz�p ��" ZS7' ��t,o°� <br /> .��Ir-rvsa�iu-t i�v-�� s��.�t�i� P�lle�r�e t� �"�s�.5'-�3 - <br /> Eleclrical Conlractor Mail Address Gi <br /> Y Slata2ip 3Jcj9 phone <br /> � �C i�-NS'��ic lf � I, 557�°O <br /> Slal=License Numher Contrar�p,.ice of Work , <br /> ��iV IMs�Y-��� ���/161,v`. �QVY�C�(�t.l;�� <br /> Propose Use of Buih;ing Contact Person (Plan Review) <br /> Descripl(on ol Worl.lo Be Done; ���I I �Z S�tS c� lS�� �et'g.(�$ 1111 f�Q�,q,(.JLu.� <br /> 11n.S�d l\ ./ti�P �e-1' � �j��'� l5" c�.frcK �',n-a�-IJ ' <br /> NOTE: PLAPJS FOR ELECTRICAL WORK AT EDUCATIOPJAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY 1'HE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETT PEflMIT WILL BE ISSUED. WAC 296•46-140. ALL OTHER <br /> EDUCATIOIJAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: W IRING IN NON-DW ELLINGS IS REQUIRED TO 8E IN f1ACEWAYS, MC OR AC CABLE. <br /> HANDICAPF'ED ,4CCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES UR ALONG ACCES5IBLE 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 /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED W fTHIN THE REACH <br /> RANGES OF WAC 51-20 S[C. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREBY CERTIFY THAT I HAVE RE�D AND EXAMINED TF!IS APPLICATION AND !(NOW THE SAhIE TC BE TRUE �ND CORAECL ALL <br /> PAOVISIONS OF LA WS�ND OFDINANCES GOVEFNING THIS TYPE OF WOFIC WILL BF COAIPLETED K'HETHER SPECIFIED HEREIA� OA <br /> NOT, THC GRANTING OFA PERMIT DOES NOT PRESUh1E TO GIVE AUTHOFITY TO VIOL�TE OR CANCF.L THE PrOVISIONS OF ANY OTHER <br /> STATE OF LOCAL (.r11V FEGULATING CONSTFUCTION OR 7HF PEFFORAf�NCE OF CONSTFUCTlON. THAT I qM AU7HORIZED BY TNE <br /> OLNNER OF 1HIS PFOPERTY TO PERFORh1 TFIE WOFI! FOli 4VH/CH APPUCATlCN IS hIADE AND 1 COh1PLY WITH THE STATE <br /> CONTRACTOqS LALV 18.27 FC4V�ND 29G.200 WFiC. <br /> C2�3 �> <br /> _ U7V�C{'!L`�LC� OI ��JQ'.� FEE �L� <br /> Signal��e py�o J <br />