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APPLIC TION FOR ELECTRICA `L PERMIT <br />CITY Of EVEREIT <br />BUILDING DlVISION <br />3200 CEDAR STREET <br />EVERE7T, WA 98207 <br />PHONE: (425)257-8810 <br />FAX: (425)257-8857 <br />(%OJ �VcYtGJ2EEnI (�1�4 y <br />PROJECT ADDRESS <br />Owner <br />Mail Atltlress <br />City <br />S�ate2ip <br />� <br />�' <br />Phone <br />�°Y4T1-fE121NES � 3�7�U s-rt.4-r� r��>. 5ew�nl�pu� � PA I�i�v z��-zv;-gioa <br />Tenant <br />Mail Address <br />Ciry <br />State2ip <br />Phone <br />SLCc�K�-r-tfLlxJlc 303�-!(��v, w, SEr�mE (-J/} 9'�ll�r zvG-5/Y3-qGzo <br />EleCtriC81 Con��actOf Mail Address Ciry Slale2ip Phone <br />sccuv��� v�lz,vl� <br />Slale License Number <br />Use of Building <br />� 1�7� l, YZ <br />CoNract Price oi Work <br />Contact Person (Plan Review) <br />DescriplionofWorktoBeDone: �ocJ VoLT✓�GC S�[u�c�TH sysrcw, <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MIIST 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 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 />C"'I5 INCHES ABOVE THE FLOOfl. WAC 51-20 SEC. 3106(c)2. <br />ENVIRONMENTAL AND OTHER CONTHOL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br />RAtdGES OF WAC 51-20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES A80VE THE FLOOR. <br />i HEFEBY CERTIFY THAT I HAVE READ AND EXAMIlJED THIS APPLICATfOfJ AND KN04Y THE SAME TO BE TRUE AND COFRECT. ALL <br />PROV/SIONS OF LAWS AND ORD/NANCES GOVERNING TH/S TYPE OF WORK WILL BE COhIPLETED WHETHER SPECIF/ED HEREIN OR <br />NOT, THE GRANTING OFA PEAMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROV/SIONS OFANY OTHER <br />STATE OR LOCAL L1W REGULATING CONSTRUCTICN OR THE PEFFORMANL'E OF CONSTFUCTION. THAT 1 Ah1 AUTHORIZED 6Y THE <br />OWNER OF THIS PROPERTY TO PERFOFM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW 1627 FCW AND 7.96.200 WAC. <br />Signature <br />FI Frnoiocv 000. <br />7— / I —O � FEE <br />Date �GIG�"��� <br />