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APPLI� '�TION FOR ELEC7RI(' �L PERMIT <br /> C/TY OF EVERETT <br /> BUILO/NG O/V/S/ON <br /> 3200 CECAR STREET ' <br /> EVERETT, WA 9B101 <br /> (425J 257-BB10 <br /> �,,��.la�.(A�6on�.�i a. �.�-��� <br /> PROJECT ADDRES <br /> �-���JQL(a�� ����-t'1,�ih�� � ��1a , Q l.L-i�-�� �d"`3�/{J <br /> OWnef MailAddress City Stale2ip Phone <br /> ��n�� ��Y7L.L.2�2✓�\7`1 �� �lo� cfl'I�YA�2�� ��# �i�1� <br /> Tenant ManAddrass Ci� State2lp Phone <br /> ,� . ��J1�..� ��� ���'�.� Q'1 �h,,F�1�. ��'� �J'�����0 <br /> ElectriCal Contractof Mail Address C�`/ StatelZip Phone <br /> A�� �C.c��l L_ ���� <br /> State License Number Contrac Price of Work <br /> �\to, <br /> Proposed Use of Buiidfng Contact Person (Plan P.eview) <br /> Description of Work to Be Done: Y � � � <br /> ._........ . . <br /> � ��c�, 1� <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE Or WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETT FERMIT 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 9E IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL• AND COMMUNICATIONS SYSTEM RECEPTACLES ON.WALLS <br /> WITHIN ACCtSSIBLE 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 HEREAY CERTI.=Y THAT I HAVE k��D ANO EXAM/NED THIS APPLICATION AND XNOW THE SAME TO BE TRUE AND CORREC7. ALI. <br /> PlZOVISfOPlS OF L4 W5 AND ORDINANGES GCIVERNIN'G THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPcCIF1ED HEREIN OR NOT, <br /> THE GR::NTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTNORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE <br /> OR LO.^.AL LAW REGUL4TlNG CONSTRUCTION OR THc PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE OWNER OF <br /> THIS PROF�RTY TO PERFORM THE OR FOR WNICH APPLICATlON IS MADE AND 1 COMPLY WITH THE SrATE CONTRACTORS LAW 1817 <br /> RCW AND 29fi.200 WAC. <br /> �1-� �/ I � FEE /�� — <br /> L <br /> Slgnature� , Date <br /> �/ <br /> ��A�,�,� ��9a7-azi ` <br />