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APPLICA�TION FOR ELECTRICAL PERMIT <br />CITY OF EVERETf <br />BUILDING DIVISION <br />3200 CEDAR STREET <br />EVERETf, WA 98201 <br />PHONE: (d25)257-8810 <br />FqX; (425)257-8857 <br />� �3� �e� �e�ra,Q �d �e... <br />PROJECT ADDRESS <br />`� � �1Q�vY\ `�' �rs— <br />Ownor � Mail Address City StatelLip Phone <br />Tenant <br />Electrical <br />Mail Adtlress <br />_ � <br />Mail Adtlress <br />E�c� �2" I�I�n� <br />State License Number <br />/i0 A� Aln �..�o � <br />Proposed Use of Building <br />Description of Work to Be Done: <br />CiI/ <br />City <br />StatelZip Phone <br />l.,rl lf 98Z5 Z- �Gv(c�'-5�3 � <br />StalelZip Phone <br />�.[%)�� . <br />Contract ice of Work <br />Contact Person (Plan Review) <br />� ` <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 />EDUC�TIONA FACI BT E� AND ALL �EALTH CARE FACIL�ITI SI PLANS WSLLEBE REV EWED BY THIS OFFI ETHER <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 />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND COFRECT. ALL <br />PROVISIONS OF L4 W5 AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br />NOT, THE GRANTING OF A PERMIT DOES NOT PFESUME TO GIVE AUTHOFITY TO VIOL4TE OR CANCEL THE PFOVISIONS OF ANY OTHER <br />OWNER OFQTH�S PRO ERTY TO P A�ORMUTHE WORKT�OREwyORMAPPE'O�F ION SSRLIADE ANDHA COMPLYUWI�HIZTHEeSTi1TE <br />CONTRAC70RS LAW 18.27 RCW AND 296.200 WAC. <br />;,_ 1.��. <br />Signature <br />Eoz.a5-oq� oe'B <br />FEE <br />