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APPLIC�{, lON FOR E�.ECTRICAC� PE�RMIT <br /> CITY'JFEVERETT <br /> BUILDING OlVISION <br /> 3200 CEOAR STREET <br /> EVERETT, WA 9820> <br /> (425J 257-BB>0 ' <br /> �I� �.�-�.�� <br /> PRO�DRE S �� �/ �� �F�i� <br /> �i�� �� �i�i � a�U �7�� �� � +�-tR�cnlP.l.E'� lR)/� 3���/S'� <br /> Owne� Mail Address . Ctty tatel7Jp f hone <br /> nlr�- <br /> Tenant MallAddress Cky SlatYlip Phone <br /> Ga�d i, 6/«�r.^c ��53a �m er��el�' .t��$`, ina�ilY Gv/-� <3�DI�3s-`�a�y <br /> EI ctricalContractor MallAddress City alerlJp hone <br /> �f�-R-���� � i�g9c� <br /> State License Number Contrect Price of Work <br /> Proposer: :>e of�ilding Contact Person (Plan Revlew) <br /> Description of Work to Be Done: �(�S� � <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> PPPROVED BY THE STATE OF WASHINGTON. f,PPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL 6E 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 8E IN RACEWAYS, MC OR AC CABLE. <br /> HANQICAPPED ACCESSIBILITY: ELECTRICAL AND COMi1AUNiCATIONS �l'STEM 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. WP.0 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT Wll'HIN <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 AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO 6E TRUE AND CORRECT. ALL <br /> PROVISIONS OF LA WS AND ORDINANCES GOVEftNING TNIS T1'PE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR NOT, <br /> iNE GRANTING OF A PERMIT DOES NOT PRESUME TO G/VE AUTHORITY TO VIOL4TE Oft CANCEL THE PROVIS/ONS OF ANY OiHER STATE <br /> OR 1 OCAL LAW REGULATING CONSTRUGTION OR THE PERFURMANCE OF CUNSiRUCTION. THAT 1 AM11 AUTHORIZED BY THE OWNER OF <br /> THIS PROPERrY TO PERFORM THE WOftK FOR WNICH APPGCATION IS MADE AND I COMPLY WITH THE STATE CONTRACTORS LA W 18.21 <br /> RC W'AND 296.200 WAC. <br /> / . ///L— m OO FEE <br /> —�� <br /> Signzlure Date � <br /> ELEUP(NNlYl) n/ /r,'�� <br /> / � V <br />