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� _ <br /> APFLICATION FOR ELECTRICAL PERIVIIT <br /> C/TY OF EV'ERETT <br /> BU/LO/NG D/V/S/ON <br /> 3200 CEOAR STREET <br /> EVERET7; WA 9B70> <br /> (425J 257-88>0 <br /> l l z ! 5- � � � �� ,M� w�. <br /> PROJECT ADDRESS <br /> .SA)� �A-� �/�� � /Lvcc<r-'r-er_�� ���� 3Sb oJ 1/ <br /> OWnef MailAddress City Stale/Zip Phane <br /> _S�Jn P4� I I Z I S, F ��,�-����q,�,,-,a � , <br /> Tenaftt Mail Address City S ale/Zip Phone <br /> UF„cc.��-o� Z31 z W- C.}�iNo�2a �f�-,�— G- 7�Zd`l (`CLi)s3-aC( <br /> Electncal Contrecto� MailAddress City State2lp Phone <br /> �-��u c� -r �; i 1 � � � �{ �5 Z4 3 <br /> State License Number Contract Price of Work <br /> 9 � � C,�-t� CF.,�-r`�t2 �N1+r,- U1���n �ZS 1 �3 -6 fJi(� <br /> Proposed Use of Bwlding Contact Person (Plan Review) <br /> DescriptionofWorktoBeDone: C�(j..fl�� � C�}�Fj[.,(= T��ST ( InIGF /�,s�,¢ ) <br /> J <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 OTHF.R <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-CV✓ELLINGS IS REQUIRED TO 6E 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 OPER,4BLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TR,4VEL 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 CERT/FY THAT 1 HAVE READ AND EXAM/NED TH/S APPLICArION AND KNOW THE SAME TO AE TRUE AND LORRECT. ALL <br /> PROVISIONS OF LAWS AND ORD/NANCES GOVERNING THIS TYPE OF WORK WlLL Bc CO6IPLETED WHETHER SPECP/ED HEREIN OR NOT, <br /> THE GRANrING OF A PERM/7'OOES NOT PRESUME TO GIVE AUTHORITY TO V/OLATE OR CANCEL THE PROVISlONS OF ANY OTHER STATE <br /> OR LOCAL LAW REGULiT/NG CONSrRUC7/0N OR 7HE PERFORMANCE OF CONSTRUCT/ON. 7HAT I AM AUTHOR/ZED BY THE OWNER OF <br /> THIS PROPERrI'TO PERFORM THE WORK FOR WHICH.4PPL/CATION IS MADE AND I COMPLY WI7H THE STATE CONTRAC70RS LAW 18.27 <br /> RCW AND 296.200 WAC. <br /> �S�'NY <br /> � � FEE <br /> �' �� _oo <br /> Signature �C/ Date <br /> e�[urin[veoel �I H V '���� <br />