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APPLICa^:�ION FOR ELECTRIC�h PERMIT <br />CITY OF EVEREiT <br />BUIIDING DIVISION <br />3200 CEDAR SIREET <br />EVEREif, WA 98201 <br />PHONE (425)257-8810 <br />FAX: (425)257-8857 <br />Z z z 3 F/� LAIV D PL <br />PROJECT ADDRESS <br />�7'�FF WQODliDN.S� zzz3 fi�[.sn� P� L-V�—[udi q(iZO� �y2S�.�'f�7—bS�BS� <br />Owner <br />Tenant <br />Electrical <br />Mail Address <br />Mail Address <br />Mail Address <br />M�b�u � C��3 NJ <br />State License Number <br />Praposed Use of Building <br />Description of Work to ee Done: $ AT I� REM p D�L <br />ciry <br />City <br />��ry <br />Stete2(p <br />Stale/Zip <br />Zs� <br />sc�iercP <br />Phone <br />Phona <br />ZS ZSZ ys <br />Phone <br />Contract Price of Work <br />Contact Person (Plan Raview) <br />AD b BhTl3 Pi�� Ll�,i�j� Siu�T'Ch?� 6F1 �LI.11� <br />�- u�w Cin��n►T� <br />FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />NS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br />ACILITIES AND ALL HEALTH CARE FACILITIES PLANS W ILl BE REVIEW EC' BY THIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG nCCESSIBLE 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 E�UIPMENT 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& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />I HEREBY CEATIFY THAT I HAVE READ AND EXA <br />PROVISIONS OF UWS AND ORDINANCES GOVEf <br />NOT, THE GRANTING OF A PERMIT OOES NOT PRL <br />STATE OR LOCAL LAW REGULATING COP�STFUC� <br />OWfJER OF THIS PROPERTY TO PERFOFM TN <br />CONTRACTOAS LAW 18.27 RCW AND 296200 WAC. <br />Signature <br />ELECAP(REV 898� <br />IIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />S TYPE OF WORK WILL BE COMPLETED WMETHER SPECfF1ED HEREIN OR <br />GIVE AUTHORIT t TO VIOLATE OR CANCEL THE PAOVISIONS OF ANY OTHER <br />hlE PERFORM.4N:'E OF CONSTRUCT70N. TN iT l AM AUTHOAIZED BY h1E <br />FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />3- L6- b/ <br />Date <br />EVlo3 -071 <br />FEE �3 S• �� <br />