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APPLIC�' TION FO� ELECTi�IC,� '. PERMIT <br /> C/TYOFEVERETT <br /> BUILD/NG D/V/S/ON . <br /> 3200 CEDFiR STREET <br /> EV�RE77; WA 9B20> <br /> (425J 257-BB>0 � <br /> l �ol L�� � �f ��� i( wa�s <br /> PROJECT ADDRESS <br /> 1 <br /> OWnef MaflAddress City StaleOJp Phone <br /> (� e� �- /� �e�'�� I �.D l �v.�� T� Y�� (( wzy I��� (�5 3Ss'- 9G35 ' <br /> Tenant Mail Address Clry StatefLlp phone <br /> 'L� ' i ���D/ L�i�C{� /��P ;�-�l�.tc � �i�'.��I( `,�5�/`2l�i� <br /> EI ical Contractor Meil Address City SWte/Zip phone <br /> �"Y[..4�!•:s=1 ��-(ZL t' ��� V �" <br /> State License N:�• .�rr Contract Price of Work <br /> �• v�� �nt� �a ' l yCIfl�G <br /> Proposed Use of Buiidi�n Contact Person (Plan Review) <br /> Description of Work to Be Done: _ �(,r Lf ��UC U� �' Tst__ 7 U- Q �,! J' �-�� <br /> NOTE: PLANS FOR ELECTRICA� WORK AT EDUCATIONAL, FACILITIES U'tILIZING STATE FUNDS MUST BE <br /> APPRQVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THF STATE <br /> APPRUVED PLANS BEFOFtE CITY OF EVERETT PERMIT WILL BE ISSL�EU. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HE.ILTH CARE FACILITIES PLANS W:LL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIREn T'� 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 UF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 I�!CHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMF_NTAL AND OTHER CONTROL REGEPTACLES AND OTHER OPER,4BLE 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 8 F AND PJOT LESS TF!.1N 36 INCHES ABOVE TNE FLOOR. <br /> f HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPIJCATION,SND KNOV✓ THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LA;kS AND ORDINANCES GOVERNING THIS TYPE OF WOfiK N1l1 BE COMPLETED WHETHER SPECIF/ED HERE/N OR NOT, <br /> THE GRANTING OF A PERMIT DCES NOT PRESUME TO GIVE AlITHORITY TO VICLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE <br /> OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTP.�JCTION. THAT l AM AUTHORIZED BY THE OWNER OF <br /> THIS PROP�RTY TO PERFORM TNE WORK FOR WNICN APPLICATION IS MADE AND I COMPLY WITH THE STATE CON7RACTORS LAW 18.27 <br /> RCW AND 296.200 WAC. <br /> ' FEE � � ' <br /> 9 � <br /> Stgnature Date <br /> e�ecwenev we� . <br />