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APPLICA i yON FOR ELECTRICA� r'ERMIT <br />C11Y OF EVERETf <br />BUILDING DIVISION <br />3200 CEDAR STREET <br />FVEREIT, WA 9820I <br />PHONE: (425)257-8810 <br />FAX: (425)257-8857 <br />y ��' L{{� R�fl D/ZI�'� <br />PROJECT ADGRESS <br />�is h 9- Pn�� <br />Owner <br />SQfti <br />�LTiS S/S �A�R'� <br />Mail Address <br />Tenant Mail Adtlress <br />C ALP B,�I�A IS19 7/��MPsoN l <br />Electrical CoNractor Maii nddress <br />� A � N B-t -� o ss c�P <br />State License Number <br />Propnsed Use of Building <br />Descriplion of Work �o Be Done: C I-i P N �`{ d �? <br />2ou �?n <br />Dx��-� Ftif��rrr <br />City State2ip <br />zs-g l�yl <br />Phone <br />�i�y State2ip Phone <br />O <br />�, caMAN° T,�LI�ND �82�� 3�� cSB� <br />Ciry State2ip Phone <br />Contract Price of Work <br />Comact Person (Plan Revie���) <br />S�N�c-� FAh,�y I?�s�ptuct <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY THE STATE OF WASHINGTON. APFLICANTS WITH SUCH J08S 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 RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCCSSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />VJITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE N10UNTED A MINIP�tUtv1 <br />OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br />ENVIFONNtENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EOUIPMENT WITHI�! <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 CEFTIFY THAT 1 HAVE READ AND EXAP.IINED THIS AP'LICAiION AND KN04V THE SAAIE TO BE TRUE AND COFRECT. ALL <br />PFOVlSlONS OF 47 WS AND OFDINANCES GOVEFNING THIS TYPf OF V✓OFK WILL 6E COM11PLETED WHETHER SPECIFIED HEFEIN OA <br />NOT, THe GRANTING OF A PEAMIT DOES NOT PFESUb1E TO GIVE AUTHOFITY TO VIOL7TE OR CANCEL THE PFOL'ISIONS OF ANY OTHER <br />STATE OF LOCAL I.:1W FEGULATING CONSTFUCTION OR THE PEnFOFMANCE OF CONSTFUCTION. THA7 I AM AUrHORIZED BY THE <br />OWNER OF THIS PFOPERTY TO PEFFORh1 THE WORK FOF IVHICH APPLICATION IS h1ADE AND 1 CO�LIPLY WITH THE STA.TE <br />CONTRACTOFS LAW ;8.2i FCW AND 296200 LVAC. <br />,�� .�i <br />Signaturro <br />ELECAP(REV 89Ei� <br />�a.�� 7/ ?�% ol ID�,I'��L <br />Date � <br />%/ <br />FEE <br />