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�a � <br /> ( ` <br /> APPLICATION FOR ELECTRICAL PERhqll" <br /> CITY OF EVEREI7 <br /> BUILDlNG DIVISION <br /> 3200 CEDAR STREET <br /> EVERETI, WA 98201 <br /> PHC'NE:(425)257-8810 <br /> FAX: (4?5)257•8857 <br /> r Z 0� 'l'_7G ��� /��L ��( �k�j� � <br /> PROJEC7 ADDRESS <br /> Owner Pdail Address City State/Zip Phone <br /> �nwn� �N�-s �2 o i �E. c.�� ,� wy su,�� (,vA- q8zo y � <br /> Tenant Mail Address City Stale2ip Phone <br /> APo��o ,V,�� �NC. 147Zi /d�"Rv� �u�. ,viarw�v��.,.�,,. w�. 4�z�� bol6s�y <br /> Elec[fiCal ContfaClor Mail Address City State2ip ' Phone <br /> �a�LN� o44ot� �G�7�o°� <br /> State License Number Contract�rice of Work <br /> co�,,,�C.,�-� �Ia.�, cn,�Y� <br /> Proposed Use of Building Conlacl Person (Plan Review) <br /> Descriplion of Work to Be Done: �^I 5'�j"L L 2— �L LU M���� S/�/S �,h' <br /> W A-�1_ �` E-ewA�D �C�N ES '� <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIGNAL, FACILITIES UTILIZING STATE FUNDS MUST BE ; <br /> APPROVED BY THE STATE OF WASHINGTOPJ. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE � <br /> APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WP,C 296-46•140. ALL OTHER I <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FP.�ILITIES PLANS W ILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SY.riTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIti1UDA <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c12. <br /> ENVIRONf�dENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE E�UIPMENT WITHIN i <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH j <br /> RANGES OF WAC 51-20 SEC. 3106�b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> 1 HEREBY CEFTIFY TNAT I HAVE FEAD AND EXAMINED THIS APPLICArlON AND KNOW THE SAME TO BE TFUE AND CORFECL ALL <br /> PFOVISIONS OF L;1 W5 AND ORDINANCFS GCVERNING THIS TYPE OF IVORK WILL BE COhIPLETED WHETHER SPECIFIED HEFEIN OF <br /> N07, THE GRANTINr OF A PERMIT DOES NO'f PFESUME TO GNE AUTHOFITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATc OR LOCAL GILV REGL'W 71NG CONSTn'UCTiON OR THE PEFFOFM1IANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZc'D BY THE <br /> OWNEA OF THIS FFOPEFTY TO PERFOF:I THE WOFK FOR WH1CH APFLICATlON IS MADE AND 1 CCMPLY WITH THE STATc <br /> CG�JTRACTOFS LAW 78.27 RCW AND 296.ZOP WAC. <br /> / :G)����� <br /> �� � FEE <br /> Signature Date <br /> ELECAP(REV 8°9� <br />