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APPLICA�ON FOR ELECTRICAL�ERMIT <br /> CITY OF EVEREIT <br /> BUILDING DIV/SION <br /> 3200 CEDAR STREET <br /> EVERETT, WA 98201 <br /> PHONE:(425)257-8810 <br /> FAX: (425)257-8857 <br /> `�'_1 r�r�' �vc <br /> n � ��.�-�—� u-- <br /> PROJECT ADDRESS <br /> l.,Vr�ZL-� "��rnf'1��-c �'Li ��P�un f�'�t_ �=-a.�r Ef=� lrl�`. <br /> Owner Mail Atldress Cily State2ip Phone <br /> ��m� <br /> Tenant Mail Address City State2ip Phone <br /> �Os'vF V".� �Fa... �"� W c.r�l� i i �?.R: ��_ ��Z"� �1P �(S.t—•T�{,'-i <br /> Elec�rical Conlraclor Mail Adtlress Cily Slale2ip Phone <br /> 1?-1'�1�� �4\C-F. 1�.'�c� :t� <br /> Sla�e License Number Coniracl Price of Work <br /> S�ic� <br /> Proposed Use of Building Contact Person (P�an Review) <br /> Description ol Work to Be Done: w��� ,�'�v�o�i��rJ �o Cx�sT�NG S�tz.vc�r� <br /> �c.c.�i n�:L.��_ >:� � Zc.�lrs,� �\f�>,� <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACIIITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BFFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-14G. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEW ED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUti1 <br /> OF 15 INCHES A60VE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE �E�UIPMENT 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 AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREHY CERTIFY THAT 1 HAVE FEAD AND EXAMINED THIS APPLICATION ANO KNObV THE SAM11E TO BE TFUE AND COFRECL ALL <br /> PFOVISIONS OF 41 WS AND ORDINANCES GOVEFNING THIS TYPE OF WOFK 4YILL 6E COMPLETED WHETHfF SPECIFIED HEREIN OA <br /> NOT, Thit GFANTING OF A PEFMIT DOES NOT PRESUh�IE TO GIVE AUTHOAI7Y TO VIOL:i i E OF CANCEL THE PFOVIS/ONS OF ANV OTNER <br /> STATE OR LOCAL L;1 W FEGULA'fIA�G CONSTFUCTION OF THE PEFFORMANCE OF CONSTFUCTION. THAT 1 AM AUTHOFIZED BY TNE <br /> OWNEA OF THlS PFOPERTY TO P=FFORh4 THE 4VORK FOR WHICH APFLICAT/CN IS hIADE AND 1 COMPLY WITN THE STA'E <br /> CONTn^ACTOFS GI W iB.27 FCLV AND ZP6?00 LVAC. <br /> < .:a.��� -- - - C � �_� _� i FEE <br /> . SignaWre Date <br /> ELECAP(REV 898� ��I(7� '�3� <br />