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1 <br />APPLICATION FOR ELECTRICAL PERMIT <br />CITY OF EVERET! <br />BUILDIA!G DIVISION <br />3200 C:EDAR STREET <br />EVERE,T, WA 98201 <br />PHONF: (425)257-88)0 <br />FAX: (425)257-8857 <br />ECT ADDRESS <br />�,fy <br />F, �.�„>., �,�Q <br />Owner <br />Tenant <br />�� <br />G_Dw'Va.S�k�2YMP <br />Slale License Numb r <br />/r ei � .J %�+ � wJ <br />Proposed Use o� Building <br />Mail Address <br />Mail Address <br />Mail Adtlress <br />Ciry <br />City <br />City <br />Stale2ip <br />State/Zip <br />Stale2ip <br />I/�/�J <br />�� <br />yZs <br />�ryJ Yz3 - �iyy <br />Phone <br />Phone <br />�s? <br />i815a si z—z <br />Phone <br />Contract Price of Work <br />N%fl/Ll,� .�/�/( i.i <br />Conlact Person (Plan Review) <br />Description of Work to Be Done: S�'-L �/t.� ; y i A/H.lir��� S /�1 �Q71 L L�.�7 �JN f �t <br />_ �"C. C c u� v� C�f�t^a—� (�t,l� Lr '��lC y <br />� � <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS �4UST BE <br />APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHONJ 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 WILL BE REVIEW ED BY THIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIO�JS SYSTEM RECEPTACLES ON WALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMU(v1 <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 WITHIN THE REACH <br />RANGES OF WAC 51-20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAM/NED THlS APPLICATION AND XNODV THE SAhIE TO BE TRUE AND CORRECT. ALL <br />PFOVISIONS OF LAWS AND ORDINANCES GOVERN/NG THIS TYPE OF WOAX WILL BE COMPLETED WHETHER SPECIF/ED HEREIN OR <br />NOT, THE GRANT/NG OF A PERhIIT DOES NOT PRESUME TO G/VE AUiHOFITY TO VlOUTE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL L7W FEGULATING CONSTn'UCTION OR THE PEFFORMANCE OF CONSTFUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THfS PFOPERTY TO PERFORM THE WORK FOR WH/CH APPL/CATION IS �l1ADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />n <br />� <br />CI c/^AOrorV onn <br />-Z , O <br />Date �'Q��y_�j <br />FEE <br />