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APPLIC�TION FOR ELfCTRIC�L PERMIT <br /> C/TYOFEVERETT <br /> BU/LD/NG DlVISION <br /> 9200 CEDAR STREET <br /> EVERETT, WA 9B701 <br /> (425J 257-BB10 <br /> ��l � � �.�f Y 1\` � K_-`�\� <br /> PROJECT ADDRESS <br /> ��n l l � -- <br /> Owner MailAddress Clty State/Zip Phone <br /> Tenant MailAddress Cky State2ip Phone <br /> -� �t���il� �'s�4,��`1 e�,�1,��-� � -�-ll �llb <br /> Electdcal Contractor Matl Addrcse Ciy 1 Statel7Jp Phone <br /> C 1�t�''�Y�tSNL �D�]C�SY1� � � <br /> State License Number Contract Pri a ' <br /> ��'�1� �l(�l'�clC1 <br /> Proposed Use of Building Contact Person (Plan Review) <br /> DescripUon of Work to Be Done: � \� ' \ <br /> Vl �l <br /> . . <br /> NOTE: PLANS FOR ELECTRICAL WORK �1T EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <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 296-48-140. 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 ACCESSIBILITY: ELECTRICAL A!VD COMMUNICATIONS SYSTEM RECEPTACLES UN �JALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MII:IMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SrC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE �QUIPMEtdT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCI=SSIBLE ROUTES OF TRAVEL SHALL BE MOIINTED WITHIN TFIF_ .�EACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLQ�R. <br /> /HEREB)' CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO 6E TRUE AND CORRECT. ALL <br /> PROVISIONS OF LA WS AND ORDINANCES GOVERNING THIS T'YPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR NOT, <br /> THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE <br /> OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE OWNER OF <br /> THIS PROPERTY TO PERFORM TNE WORK R lNHlCH APPLICATION IS MADE AND I COMPLY WITH TNE STATE CONTRACTORS LAW 18.27 <br /> ftCW AND 296.200 WAC. ' <br /> � �l � , FEE <br /> Slgnature � Date - <br /> accwcnevew� rl J� <br /> E9912- �? S 5 <br />