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APPLIC�TIO�V FOR ELECTRIC�. PERMIT <br />C/TY OF EVERETT <br />BU/LDlNG D/V/SION <br />3200 CfDAR STREET <br />EVERETT, WA 9820f <br />(425J 257-8B>0 <br />/5�PJ2 S'� <br />PROJECT ADDRESS <br />��.��7! /y%GL (,��py <br />� <br />�� <br />Ownef Mail Audress City StaielLip Phone <br />Tenant <br />Meil Address <br />Tl.a,un ,�'/,.�n•,� �, <br />Contractor Mail Address <br />Gf/�-r�scaza.y�- <br />State Licer.se Number <br />�T.w. � STa.r� <br />Proposed Usc of Buildirg <br />Description of Work to Be Done: <br />Cily <br />City <br />State2ip <br />i <br />� �2�c� <br />Contract Price of Work <br />Contact Person (Plan Review) <br />S <br />Pnone <br />:O$ <br />Phone <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONIL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY THE STATE GF WASHINGT'JN. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br />APPROVED PLANS BEFORE CITY OF EVERE'IT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br />IJOTE: VNIRING IN NON-DWELLINGS IS REQUIRED TO BE IN R,4CEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM REC[PTACLES ON N/ALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMU��A <br />OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER nPERABLE EQUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVE� SHALL BE MOUNTED WITHIN THE REACH <br />RANGES OF WAC 51-20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES A60VE THE FLOOR. <br />Signature <br />e�cva(nEveve� <br />THAT I HAVE READ AND EXqMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />B AND ORDINANCES GOVERNING THIS TYPE OF WORK W/LL BE COMPLETED WHETHER SPECIFIED HEREIN OR NOT, <br />� PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE <br />UTATING CONS7RUCTION OR 7HE PERFOFMANCE OF CONSTRUCTION. THAT I qM AUTHORIZED 6Y THE OWNER OF <br />PERFORM THE WOR;< FOR WHlCH APPUCATION IS MADE AND 1 COMPLY WITH THE STATE CONTRACTORS LAW 18.27 <br />7C. <br />Date <br />� <br />��!�/�c� <br />FEE a� J <br />