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APPLICA) ION FOR ELECTRICAL � PERMIT <br />CITY OF EVERETT <br />BUILDING DIVISION <br />3200 CEDAR STREET <br />EV -RETT, WA 98201 <br />PHONE: (425)257-8810 <br />FAX: (425)257-8857 <br />S'� O:S I j 25t/z„&4 *A-) i Wg-Lf <br />� <br />PROJECT ADDRESS <br />W A- f3sSo��s <br />57��2 S,�aarFha�,,ffLa <br />9�1/� <br />ZO(-7Z2-o; <br />Owner Mail Address <br />City <br />State/Zip <br />Phone <br />k P 2 <br />VV" <br />Tenant Mail Address <br />City <br />Staterip <br />Phone <br />zg melee Qn &x, <br />G160cbyy'J"((4 <br />w(k a <br />�l7s14 rT/J/3 <br />Electrical Contractor Mail Address <br />City <br />State2ip <br />Phone <br />Igo e i z/o <br />ZI 7 <br />State License Number <br />Contract Price of Work <br />�_ <br />/ J -A✓4L <br />Proposed Use of Building <br />Contact Person (Plan Review) <br />Description of Work to Be Done: _En e,-�<'..f' <br />!j w',-(r_L5. <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 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 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 EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br />NOT, THE GRANTING OFA PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THISAPROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION 1S MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />Signature <br />cl Ft`Coroc\r nne. <br />Da D tog -Z%SS, <br />FEE <br />