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APPLIG�TlON FOR ELECTRIC'�.L P�RMIT <br /> CITY OF EVERE7T <br /> BUlLDING DlVISION <br /> 3200 CEDAR STREET � <br /> EVERETT, WA 98201 "I "� h -i� ' <br /> (425J 257-BBiO <br /> I Ir` p <br /> F, �J S �`� u I l •'U r i �-F L. 1�Pr� f�� l...i � `� D � � <br /> PROJECT ADDRESS <br /> t� ' � �� � -��?1� � <br /> S�r ������ ��S °���%� �(� ( i�� �� ��'�,.�(��- � �,�i /� � 3- <br /> Owner I ( Mail Address City Stale/Zip Phone <br /> `�� � �I v s ir"7 <br /> Tenant f MailAddress City Stale2ip Phone <br /> lI <br /> ElecfficalContracfof MailAddress Ciry State2ip Phone <br /> �✓ <br /> �� e v1�0 �w Y`Q- �' � ��D <br /> State License Number � Contract Price of Work <br /> , � <br /> I�� .5 I L�Cv�U� / �� � ��t h.E� � �CL-�' �v ��c., C�1 J <br /> ProFosed Use of Building Contact Person (Plan Review) <br /> I l I 1 <br /> DescriptionofWorktoBeDone: �n,� H, � D c1M1� C1C�UlI KU�') �U�l � <br /> _ .._ . <br /> _ � .� <br /> P �'v� - "-7 �' �r i� i <br /> i�,'V� � 1� i' � � ti ��(/ Z E�`'15�"IwM �-��✓'Viiv v�c� i�i � iS <br /> � � �ws <br /> c <br /> � � � � l�n�� �Sr 5 l�S� �4 Pu �' rritiY� 1 D �10 �C�CL��� �.� �r !-�„ ` �- �•� <br /> � ' <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 OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN R.4CEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVcL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> EPJVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE RGUTES OF TR,4VEL SHALL BE MOUNTED V�IITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 310fi(b)4 E& F AND NOl' LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREBY CERT/FY THAT l HAVE READ AND EXAMINED TH/S APPLICATION AND KNOW THE SAMF. TO BE TRUE AND CORRECT. ALL <br /> PROV/SfONS OF LAWS AND ORDINANCES GOVERMNG THIS TYPE OF WORK WILL 6E COMPLETED WHETHER SPEC/FIED HEREIN OR NOT, <br /> THE GR4NT/NG OF A PERMIT DOES NOT PRESUh1E TO GIVE AUrHORITY TO V/OLATE OR CANCEL THE PROV/SIONS OF ANY OTHER STATE <br /> OR LOCAL LAW REGULATING CONSTRUCTICN OR T,YE PERFORhlANCE OF GOMSTRUCTION. THAT I Ald AUi HOR/ZED HY TNE OWNER OF <br /> rHIS PROPERTY TO PERFORM THE LYORK FOR WHICH APPLICATIONlS fdADE AND/COMPLY WITH THE STATE CONrRACTORS LAW 1H.27 <br /> kCW 9N4 296.200 WAC. <br /> ' I �" <br /> �_ , <br /> �„ <br /> � �; � ����� _1 — � — U � � FEE <br /> �' <br /> Signature Date <br /> ELECAO�qF/lAd) <br /> � �)� -C��e� � <br />