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APPLICATION FOR ELECTRICAL PERMIT <br /> CIIY OF EVEREI7 <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> fVERETT, WA 96201 <br /> PHONE: (425)257-8810 <br /> FAX: (425)257-8857 <br /> 853o����tc-�.enl �ti�r-���-rr, �,JA- <br /> PHOJECT ADDRESS <br /> �.Y) l�l��'.�2, <br /> Owner rdail Atldress �;�y <br /> � State2ip Phone <br /> 11(ST�- npTl c�9-L <br /> Tenant Mail Address C�ry Stale2�p <br /> 4biN T�2£[�LTa�'I C 845 b2�'T�J.�R RD • � 360'�'13� <br /> Electrical Conlraclor Mail Address ���8�� <br /> City State(Lip Phone <br /> f�I1J"tEl 14$ E a,�00.p� — <br /> State License Number <br /> Con ract Price of Work <br /> Proposed Use of Building ��� ��N 1�� <br /> Cantact Person (Pian Review) <br /> Descriplion ot Work to Be Done� � � N�c� �' ����� � <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 CAflE FACILITIES PLANS WILL BE REVIEW ED BY THIS OFFlCE. <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 A60VE 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 /> HANGES OF WAC 51-20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREBY CERTIFY THAT!NAVE READ AND EXAMlNED THlS APPLICATION AND KNOW THE SA6fE TO BE TRUE AND COFFECT. ALL <br /> PFOVIS/ONS OF LAWS AND ORD/NANCES GOVERNING THIS TYPE CF WOFK bVILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br /> NOT, THE GRANTINC,OFA PEFhiIT DOES NOT PRESUME TO GIVE AU7HOFITY TO VIOW TE OR CANCEL THP PAOVISIONS OF ANY OT'riER <br /> STATE OR LOCAL L7W REfiULATING CONSTfiUCT/ON OR TH=pEnFJFM11ANCE OF CONSTRUCTION. THAT I AM AUTHORIZED 8Y THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORX FOR WhICH ApPL�CATlON IS 1dADE AND / COMPLY W1TH TNE Sl'A'e <br /> CONTRACTORS LAW 18.27 FCW AND 296.200 WAC. <br /> �-� 5�-r-�� FEE <br /> Signature Date F p'GS 'G�D� <br />