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APPLICATION FOR ELECTRICAL PERMIT <br />C1TY Of EVERETT <br />BUILDING DIVISIDN <br />3200 CEDAR STRfET <br />EVERE7T, WA 98201 <br />PHONE: (425)257-8810 <br />FAX.• (425)257-8857 <br />�, n S E� E� h�E�i�1 �n1A�-1 � �S �- i D <br />PROJECT ADDRESS <br />� _ ���( <br />ow�e� <br />Tenant <br />Eiectrical <br />Mail Address <br />Mail Address <br />Mail Address <br />5r+� u�ELi z� l� <br />State License Number <br />�-rr�-1 L <br />Proposed Use of 6uilding <br />Description of Work to Be Done: <br />Ciry <br />City <br />State2ip <br />Slnte2ip <br />�� <br />� <br />Phone <br />City Stete2ip Phono <br />I L � SD� °° <br />Contract rice of Work <br />Contacl Person (Plan Review) <br />5� <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 296-46•140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS W ILL BE REVIEWED BY THIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, 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 A60VE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERAE'.LL= EQUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE fviC)UI�TcD W I'?'HIN THE REACH <br />RANGES OF WAC 51-20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES AP.OVE THE FLOOR. <br />1 HEFEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AA'D KNOW THE S9h1E TG BE TfiUE AND COFRECT. ALL <br />PROVISlONS OF LAWS AND ORDINANCES GOVEFNlNG THIS Tl'PE OF WORK W7LL 6E CGLfr'LETED WHcTHF_R SPECIFIED HEREW OR <br />NOT, THE GRANTING OFA PEFMIT DOES NOT PFESUME TO GIVE AUTHORITY TO V/OL4TE OR CANCEL THE PFOVISIONS OFANY OTNER <br />STATE OR LOCAL L.1W FEfiULATING CONSTFUCTION OR TNE PEFFOFMANCE OF CONSiFUCTION. THAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PFOPERTY TO PEAFORM THE WORK FOF WHICH APPL/CATION IS MADE AND I COMPLY LVlTH THE STATE <br />CONTFACTORS L7 DY 18.27 FCW AND 296.200 WAC. \ <br />/ ��� -��a <br />c � �oc� _ol�� .�J � � <br />�m_ r�lz�l� L� �- ���D I FEE a��. s� <br />Signalure Date <br />