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( <br />�PPLICATION FOR ELECTRICAL PERMIT <br />CITY OF EVERfTf <br />BUILDING DiVISION <br />3200 CEDAR STREET <br />EVFREiT, WA 98201 <br />PHONE: (425)257-8810 <br />FAX.� (425)257-8857 <br />1�lO S 5o1�'C.` 6,Q L VL-'��,2ECd> r✓A/ <br />PROJECT ADDRESS <br />� <br />i <br />Ten2nt <br />Electrical <br />CAGL E E's o G 5� I <br />State License Number <br />'��l�-6Tv�E <br />Proposed Use of Building <br />Ivlail Address <br />Mail Address <br />Mail Address <br />Cily <br />City <br />Slalerip <br />State2ip <br />Phone <br />Phane <br />� Sa9•5't4-33yS <br />City State2ip Phone <br />�� <br />�SoO,° <br />Contract Price of Work <br />Fe�D .� s�M��so� <br />Contact Person (Plan Review) <br />Description of Work la Be Done: _�1��1�� /�� ,S ���(�.fS, c,1SN,�A�� �AtK�Q <br />NOTE: PLANS FOR ELECTRICAL WORK A'(' EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE �'(ATE <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 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 GR 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 />ENVIRO�IMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EOUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBL.E 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 CE.4TIFY THAT I HAVE READ AND EXAMINED THIS APPLlCATION AND KN06V THE SAh1E TO BE TRUE AND COFRECT. ALL <br />PROVISlONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORX 4VILL 6E COMPLETED WHETHER SPEC/F/ED HEREIN OR <br />NOT, T,4E GRANTING OF A PERMIT DOES N07 PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS JF ANY OTHER <br />STATE OR LOCAL 41W REGULATWG CCNSTRUCTION GR THE PEnFOR1v1ANCE OF CONF,TRUCTlON. THAT I AM AUTHGRIZED 6Y THE <br />OWNE,9 OF TH/S PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITN THE ST.7TE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />�--�� �'�i�o� <br />Signatw e Date <br />� /�5 //l <br />r-ee % n7 �� <br />% <br />