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l <br /> APPLIGATION FOR ELECTRICAL PERMIT <br /> CIIY Of EVERETT <br /> BUILDING DIVISION <br /> 5200 CFDAR STREET <br /> EVERE7T, WA 98201 <br /> ;HONE:(425)257-8810 <br /> FAX: (425)257-8857 <br /> 9�1 �� 1,,, � , �� <br /> PR J CT ADDRESS <br /> �1167�� qrd� ,��s. _ <br /> Owner / � Mail Address City Stzte2ip Phone <br /> Tenant Mail Address City State2ip Phone <br /> � �11 . 4�e�� ca � '����i a � >���,�:se �t�tt9� , � �-�4c'--�T3 <br />�P�:��� Eleclrical Contractor Mail Address City Stat ip Phone <br /> � � t�t ���s�.o� ��C � y� , � <br /> S�ate License Number Cont ct Price of Work <br /> ' Pro osed Use of Buildin \ � �� ��� � \' � <br /> ; P 9 Contact Person ( n Review) <br /> �'� Descriptlon ot Work to Be Done: � �J(`Q �' Qi n� <br /> i —o <br /> Fi <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED 8Y THE �TATE 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 RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> � HANDICAPPEU 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 57-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE 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& F AN� NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I Hc,REBY CERTlFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORFECT. ALL <br /> PAOVISIONS OF LAINS AND ORDINANCES GOVERNING THlS T}'FE OF WORK WILL EE COMPLETED WHETHER SPeCIF1ED HEREIN OR <br /> NOT, THE GRANTlNG OF A PERh11T DOES NOT PqESUME TO GI VE AUTHOFITY TO VIO�TE OA CA�lCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL 41W FEGUL.471NG CONS7FUCTION OR THE PEnFORM14ANCE OF CONSTFJCTION. THAT I AM AUTHORIZED BV THE <br /> � OWNER OF THIS PFOPEATY TO PERFOFM THE LNORK FCR WHICH APFLICATION IS M14ADE AND I COMPLY W/TH 7NE STATE <br /> CONTRACTORS LAW 18.27 FCW AND 296.200 WAC. <br /> � FEE <br /> ignaWre Date <br /> .�..--�s*.o^rr i r -'"'41 — 71 -T- 1 -* - 7+- .p� 1n <br /> � . � �`11�j41;,- �Si i�''k�� f #������ 4 �����,� $4 tl x��� '� '��� �'����� <br /> ' ti � � i <br /> " �. �l,�ti - � ` '� °� �� , � � x <br /> `''r 1 t �- < �;' .rf' i�`,'i <br />�y��� � �K <br /> L�'-��� _ �i��11,�Fa£#ek.:x.. . � .. . .B �� ni����:_ _"",^Si;� .. , . , a.�� <br />