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APPLICA�ION FOR ELECTRICA�PERMIT <br /> CITY OF EVERETT <br /> BUILDING DIVISION <br /> 3200 CEDAR SiREEi <br /> EVERFTT, WA 98201 <br /> PHONE:(425)257-8810 <br /> FAX: (425)257-8857 <br /> J�Zt'! Gra.��� �!/ • �' <br /> �� <br /> PROJECT ADDRESS <br /> �.��i�^ L�� lGLC��f''E /72t, ' �oRA'Nb�d• E✓ <br /> Owner Mail Address Ciry State2ip Phone <br /> IV / j�Y <br /> f <br /> Tenant Mail Address Ciry State/Zip Phene <br /> �cv.v�x� <br /> Eleclrical Contractor Mail Address Ciry State2ip Phono <br /> State License Number Conlract Price of Work <br /> /�/A'—� ANk4 <br /> Prap ed Use ot Building Con P on Plan R ie�v) <br /> �.�•.�i ,�° �, � s�tri-3$& <br /> Description af Wark to Be Done: ysvs�p �Oev�i�/ �/ C�� 27i/p�$!G ��t$ <br /> � <br /> /�-u'1�?i� <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS tiIUST 6E <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 /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIcS PLANS W ILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO BE IN RACEWAYS, PAC OR AC CABLE. <br /> HANDICAPPED ACCESSIBIUTY: ELECTRICAL AND COMti1UNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A N11NIN1UM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONtv1ENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED �'JITHIN THE REACH <br /> RANGES OF WAC 51•20 SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE F�OOR. <br /> I HEFEBY CERTIFY THAT I HAVE FEAD AND E.\AM111NE0 TH1S APPLICATION AND KNObV THE SAh�E TO 6E TRUE AND CJFFECL ALL <br /> PFOVISIONS OF L7W5 AND CFDINANCES GOVEFNlNG THIS TYPE OF 4VCRK WILL 6E COM1IPLETE� WHETHER SPEClFIED NEFElN OR <br /> NOL THE GFANTING OF A PEFh11T DOES NOT PFESUM1fE TO GIVE AUTHCFITY TO VIOUTE OF CANCEL THE PFOVIS(ONS OF ANY OTNEF <br /> STATc OR LOCAL LAW FEGUL.iT/NG CCNS7RUCTION OF THE PEFFOFhIANCE OF CONS7FUCfION. THAT I AM AUTHOFIZED 6Y '(HE <br /> OWNEF CF TNIS PFOPEFTY TO PEnFOF�LI THE 4VOFK FOR IVHICN APPLICATION IS AfADE AND 1 COM1IPLY WITN THE STATE <br /> CONTFACTCRS L44V 7827 FCW AND 290.200 IVAC. <br /> i <br /> 2-<j-ZQO/ FEE <br /> S�gnature Date � �Ioa,O�S. _ <br /> ELECAP(REV 898� � <br />