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APPLICA�ION FOR ELECTRICA�PERMIT <br /> C1TY OF EVERETT <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> EVERETi, WA 98201 <br /> PHONE: (425)257-8810 <br /> FqX; (425)257-8857 <br /> 66/o G.�'�,�., %�e-,2,� �-e- <br /> PROJEGT ADDRESS <br /> y,(e��r�/��I S n� ,L��JO�rew7� ZNC, 3�o9—�oy/'G S�t �vw�e,ff, wi¢; F�1�>�d <br /> ��� � <br /> Owner Mail Atldress Ciry Slate�Zip Phone <br /> ��li?' <br /> Tenant Mail Address City Slate2ip Phone <br /> Electrical Conlractor Mail Address City State2ip Phone <br /> �t'-s�tJ l N S <br /> State License Number ' Conlract Price of Work <br /> s/.�.1G�C'� ��1�G�-C� <br /> Propose se of Buiiding Contact Person (Plan Review) <br /> Description of Work to Be Done: �P�LM.PO�"��1�i �l'�`''��—�� ���✓�tiv"� �4� <br /> NUTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGION. 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 CARE FACILITIES PLANS WILL BE REVIEWED 8Y'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 ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEI;. 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 l �SS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREBY CEATIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KN04V THE SAME TO BE TRUE AND COFRECT. ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WOAK WILL BE COMPLETED WHETHER SPECIFIED HEAE(N OR <br /> NOT, THE GRRNTING OFA PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANl'OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTFUCTION OR THE PEFFOF6IANCE OF CO�VSTRUCTION. THAT I AM AUTHORIZcD BY 7HE <br /> OWNER OF THIS PFOPEATY TO PEAFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COhIPLY WITH THE ST.iTE <br /> CONTRACTORS LAW 18.:7 FCW AND 296.200 WAC. <br /> �� fl�-Of� <br /> J FEE <br /> Lv¢.,-r�2.21�/� .-C'�/�--��r�t�.,+.��.-� 7 S7U/ <br /> SignaNre �/�/��'/°��t,�/ �.�y�t�,(�ale <br /> ELECAP(REV 898� <br />