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APPLICAT'ON FOR ELECTRI�A� PERMIT <br /> CITY OF EVER� <br /> 6UlLDlNG DlVISION <br /> 3200 CEDAR STREET <br /> EVERETT, WA 9820> ��� r7�� <br /> �4z5,z5�B8,a C �,61 �-ayrl ' <br /> / <br /> 3D3 �,4�.<ic iQvF Ju�s �oz <br /> PRGJEC'f ADDRESS <br /> 3Go <br /> laciF.c �9✓� 1,�JdE�o.es ,2a9J��F.� A�e ,�„ezao F�.ECFii�/��`dzo/ G9/-�,3.iy <br /> Ownef Mail Address Ciry Slate2ip Phone <br /> T.7G` �98�*�Ei3 .� 2.2 5` r1L°/�cic,ac /y'r�' �'�E��i �,/� GBso� <br /> Tenant Mail Address CRy State/'up 2hone <br /> li Ni:�.1 F�-�i,2�G 5 3v� .50.�,-�;Z%/�v� EvK,� 4J/� �.to 3 i r1i��� <br /> Electficat Cantractor Mail Address Ciry StatelLip Phone <br /> ��.�J�EEC i 7Gr1� '�7!Z x'D — <br /> State License Number Contract Price of Work <br /> Proposed Use oi Building Contact Person (Plan Review) <br /> Description af Work to Be Done: _ �iEw/ �„y�� �oo7t/ .I�u,,..y,c,� <br /> ._ �OO�io✓ r1ETEQ �Y �3E.P✓r�F <br /> NOT[: PLANS FOR ELECTRICAL WORK AT EDUCi�TICNAL, FACILITIES UTILIZING STnTC FUNDS MUST BE <br /> APPROVED BY THE SiATE OF WASHINGTON. APPLICANTS WITH SUCH J06S 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 6E REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILI7Y: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL 6E MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERA6LE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> R,4NGES OF VJAC 51-20 SEC. 3106(b)4 E 8 F AND NOT LESS THAN 36 INCHES P.90VE THE FLOOR. <br /> 1 HEREBY CERi1FY THAT I HAVE READ AND EXAMWED iH/S AFPLCA170N AND K1JCW iHE SAME TO BE TRUE AND CORRECL ALL <br /> PROV7570N5 OF LA�NS AND OROfNANCES GOVERNING 7HI5 tl'?E OF WORK lh'!LL BE COh1PLErED WHETHER SFEClFIEU HEREIN Ori NOT, <br /> i HE GR4N77N6 OF A PERMIT DOES NO i PRESUME i 0 G1VE AUrHOR/TY i O VlOLA,TE OR CANCEL i HE PROVISIONS OF ANY OTHFR STAi E <br /> OR COCAL LAW REGULATING CONSTRUCTION OP, THE PEftFORMANGE OF CONSTR'JCiION. THAT/AM AUrHOR/ZED BY THE OWNER OF <br /> 7HlS PROPERTY TO PERFORM THE WOF,K FOF IVHIC!?AFFLICAT/0N 1S MADE AND 1 COAIPLY W/TN i NE SrATE CO�✓i RACi ORS LA W 18.21 <br /> RCW AND 296200 WAG. <br /> /�7 <br /> /�r % <br /> /// - / � FEE <br /> / / i /v�' <br /> Signature � �Dat <br /> aE�M�A��i �" i: �� (-�ti �� <br />