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A � <br /> APPLlC�'TION FOR ELECTRICAL PERti�IT <br /> CITY OF E VERETf <br /> BU4DING DIVISION <br /> 3200 CEDAR STREEi <br /> EVERETT, WA 98201 <br /> PHCtJE: (425)257-5810 /T <br /> FAX: (425)257-E957 <br /> a3a3 ����EJoN <br /> PROqJE�CT ADDRESS <br /> L;d-eJ�1 i�( ,��'`Q-I �-t��.? La�teP,�oo� �� S�wod,� (/U{�, `��,�t z �4�;s) 3�3-So�v <br /> , <br /> Owne� Mail AdCress City State2ip Phone <br /> r �/� <br /> Tenant Mail Address City Slale/Zip Phone <br /> �✓v,jv e.r <br /> Electrical CoNractor Mail Address Ciry State2ip Phone <br /> � <br /> State License Number Contract Price of Work <br /> S '��ft To�r� �, 4�� 3 �f.3 -S`v�-f0 <br /> Propcsed Use of Building Contact Pe-son (Plan Review) <br /> Description of Work lo Be Done: T—eMP PO W.Q r v�NULV1.AfD� <br /> hOTE: PLANS FOR ELECTRICAL WORK AT CDIICATIONAL, FACILITIES UTILIZING STATE FUNDS MIIST 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 /> EDUCnTiONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEW ED BY TNIS OFFICE. <br /> NOTE: WIRING IN NON-DW�LLINGS IS REQUIRED TO iiE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL A�JD COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLt SPACES OR ALONG ACCE:iSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 BEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPNIENT WITHIN <br /> ACCESSIBLE SPACES OR ALOfJG ACCESSiFsLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E & F AND NCT LESS THHN 36 INCHES ABOVE THE FLOOR. <br /> 1 HERE9Y CEFTIFY TH4T I HAVE READ AND EXAM,'NED THIS APPLICATION AND KNOW THE SAhIE TO BE TRUE AND COFRECT. ALL <br /> PROVlSIONS OF LAWS AND ORDINANCES GOYcNNING THIS TYPE OF WOFK 6VILL 6E COMPLETED WHETHEA SPECIFIED HEFEIN OR <br /> NO i, THE GRANTING OF A PERMIT DOES NOT PFESUME TO GIVE AUTHOAITY TO VIOLAT�OR CANCEL THE PFOVISIONS OFANY OTHER <br /> 57ATE OR LOCAL LAW FEGULATING CONSTFUCTION OR THE PEnFOqMANCE OF CONSTFUCTION. THAT I AM AUTHOFIZED dY THE <br />' OV.'NER OF THIS PROPERTY �O PERFORM THE WOF7K FOR WHICH APPLiCATiCN IS M11ADE AND 1 COh4PLY NJITH THF STAiE <br /> CONTFACTORS LAW 19.D FiCW ANO 6200 WAC. ��� <br /> � �.1 � <br /> v�� ' lVl�' � �l � �,I�'� � Ii 1 FEE <br /> SSnature ` Date I <br />