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� <br />APPLICATIO�! <br />CITY Of EVERETf <br />BUILDING DIVISION <br />3200 CEDAR STREET <br />EVERETf, WA 98201 <br />PHONE: (425)257-8810 <br />F,q�(; (425)257-8857 <br />FOR ELECTRICAL F'ERMIT <br />1�3 c,J 1,��.�Rc��Y �-�� Ev�2��> wA ��z�v <br />PFlOJECT ADDRESS <br />� <br />�f <br />PA�� E. �oE.,� /171,�•�1/��ilcd�yA� FY�P��� i,�A 1'f2o� `1zs�9oyr�s <br />O�vner <br />Tenant <br />Electrical Contractor <br />State License Number <br />Idail Address <br />Mail Addre;s <br />Mail Address <br />S�riG16 FArN��� P/��iD�n�C� <br />Proposed Use of Building <br />Ciry <br />Ciiy <br />Ci�y <br />Sta�e2ip <br />State2ip <br />State2ip <br />Contrac� Price ot Work <br />Contact Person (Plan Review) <br />Phone <br />Phane <br />Phone <br />Description of Work to Be Done: U Gl�ii�G ir� CI' iGl,�l 4 flJn P6 U G S AS Pf/' cc06 <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 SHOV�' THE STATE <br />EDUCATIONAL FACILBITIE�S AND ALL �EALTH CARE FACILITI SI PLANS IWSLLEBE RE EW ED BY THIS OFFI OTHER <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR .4C CP,BLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM R�CEPTACLES ON WALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG ACCESSI6LE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br />ENVIRON�4ENTAL AND OTHER CONTRCL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />RANGES OF WAC SE 20 SEC.�3N 6(b)4CE & F ANDR�OT EESOS THAN 36LINCHES A80VOE T E�LOOR.IN THE REACH <br />I HFSE9Y CERTIFY THAT I HAVE ftEAD AND EXAMINED THIS APPLICATION AND KNOLV THE SAME TO BE TFUE AND COFFECL ALL <br />P.;CVISIONS OF LA61'S AND ORDINANCES GOVEANING TH1S TYPE OF WOFK WILL 6E COMPIETED WHETHER SPEGFIED HEREIN OR <br />��:J', TNE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHOFITY TO VIOLATE OR CANCEL THE PAOVISIONS OFANY OTHER <br />STA7E OR LOCAL LAW AEGULATIh'G GONSTAUCTIDN OR THE FEnFORMAiJCE OF CONSTFUGT/ON. THAT 1 AA1 AUTHORIZED BY THE <br />Ol�:';JER OF TNIS PROPEFTY TO PERFORM THE WOFK FOR WHICH APF'LICATION IS �t1ADE AND 1 COMPLY WITH THE STATE <br />CC'dTFACTOFS LA bY 78.27 FCW AND 29E200 WAC. �`� <br />� al�e��" es�'� <br />Siqnature ���� <br />FEE <br />