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APPLIC.+�TION FOR ELECTRICA�, PERMIT <br /> CITY OF EVERETT <br /> BUILO/NG OlV/S/0N <br /> 3200 CEDAR STREET <br /> EVERETT, WA 9B201 <br /> �a25/25�-es�o <br /> �^�nn �°�<-,.;;�.- �,- ,� <br /> • , <br /> PROJECT ADDRESS <br /> Ownef Mail Address City State2ip Phone <br /> n (� <br /> {'c�la� ( f� �� �< « /tDSUO �✓E�qv��F..- 1�7a �i CVQ.✓P G Gd��O � .�,5-7H7� S'7(.3 <br /> �--� <br /> Tenant MailAddress City SlaterLip Phone <br /> �(�� "I�r: �IIOi C4 � Qrr.cH rd V✓�uk1���.� Wc ri�a7S �1zS-7yS-3.7o8 <br /> Electrical Contractor Mail Address City Slate/Zip Phone <br /> �!- f':: � _L '�k � l 1 � •l. �7_f� !^'! - � /a oo-��Ioo� <br /> State License Number Contract Price of Work <br /> l�c c � . a� �, <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Wark to Be Done: �F (� �� -;-r P J i�N ��< < i c� v� (' � �' � �-_ I �� � � — <br /> r <br /> , r � -'�� - `{ "1 - <br /> � <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> AFPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BEFORE CIIY 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 AC(,ESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOI�NTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ch.'VIRONMENTAL 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 5 i-20 SEC. 3106(b)4 E 8 F AND NOT LESS 7HAN 36 INCHES ABOVE THE FLOOR. <br /> 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TkUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS!ND OftDINANCES GOVERNING THIS TYFE OF WOftK WILL BE COMPLETED WHETHER SFECIF(ED HEREIN OR NOT, <br /> THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROV/510NS OF ANY OTHER STATE <br /> OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT l AM AUTHOP.IZED BY THE OWNER OF <br /> TH/S PROPERTY TO PERFORM THE WORK FOR WHlCH APPLICATION IS MADE AND I COMPLY WITH THE STA7E CONTRACTORS LAW J8.27 <br /> RC W AND 296.200 WAC. <br /> � �. , �. � ��� '.�-�. - I1o�03 � FEEy `'�7� � � <br /> Signature Date <br /> cLcculnEvecel , <br /> ��30�-038 <br />