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APPLICATION FOR ELECTRICAL PERMIT <br />CITY OF EVERETT <br />BUILDING DIVISION <br />3200 CEDAR STREET <br />EVERElT, WA 98201 <br />PHONE: (425)257-8810 <br />fAX: (425)257-8857 <br />'7 r/c�S �N�ritir;�i L✓,. <br />fADDRESS <br />�-� ��`r,a/r�� 13c�� /l�� �'i��P St �✓e �b �� // vve CJ/a 95,��`' 3 <br />Owner <br />�'�g ,�i�'r/�c'� <br />Tenant <br />Mail Address <br />7�vS F�«�,��N,, (�r <br />Mail Address <br />Ciry <br />�Ae ric U,� <br />Cily <br />StatelLip <br />�a��3 <br />State2ip <br />Phone <br />Phane <br />� <br />L%[-�•°iTi� : C1o, /�r , �7�J �iFs�x. Uy .5., Sr:,� ✓��e `J.✓' it3/3Y ao6/6d3 _T��,n >d �� 3 <br />EleclriCal Contractor Mail Address City State2ip Phone <br />/-l�h7J-i c�� ��'�D� <br />State License Number <br />�-c;,N.�r��� �?/ <br />Proposed Use of Building <br />Description ot Work lo Be Done: /J'S ��/ S•y,� �V �( s�; � ���• � <br />,s,� 7� ` <br />Contract Price of Work <br />T,.�� ,�,-r�S <br />Conlact Person (Plan Review) <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 WILL 8E 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 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 ITHIN 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 HERfBY CERTIFY THAT I HAVE READ AND EXAMINED THlS APPLICATlON AND KNOW THE SAME TO BE TFUE AND COFRECT. ALL <br />PFOVISIONS OF LA4VS AND ORDINANCtS GOVERNlNG THIS TYPE OF WOFK W/LL BE COMPLETED WHETHER SPECIFIED HERElN OR <br />NOT, THE GRANTING OF A PERMIT DOES NOT PRESUiL1E TO GIVE AUTHOFITY TO V/OLATE OR CANCEL THE PFOVIS/ONS OF ANY OT'r1ER <br />STATE OR LOCAL 41W FEGUL7TING CONSTFUCTION OR THE PEFFORMANCE OF CONSTFUCTION. THAT I AM AUTHORIZEO dY THE <br />OWNER OF THIS PFOPERTY TO PERFORM THE WORK FOR WHICH APPL/CAT/ON IS MAOE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 78.27 FCW ANO 296.200 WAC. <br />�� `"'� ��� , `}1 C��• C�rY'=�W -}��N�+Y S/��b/ FEE <br />. <br />Signature Date L G� US 'G�`� <br />