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APPLICA�ION FOR ELECTRICAL�•PERMIT <br />C11V OF EVERETT <br />BUILDING DIVISION <br />3200 CEDAR SiREET <br />EVERETT, WA 98201 <br />PHONE: (425)257-8810 <br />FAX: (425)257-8857 <br />/n0� l�lul�i� i �o l3Lv� <br />PROJECT ADDRESS �'�%� <br />��� �� I-� F-"r��,,, k l.! ,✓ SG M t A <br />Owner <br />Mail Address <br />City <br />Tenanf Mail Address ���Y <br />--�lectncal Contractor Mail Adtlress Ciry <br />w,.� �.)a � �'� <br />State License Number <br />I\e•S I�eV�C � <br />Proposed Use of Building <br />Description ot Work to Be Done: <br />Z�o�o S4 �- <br />State/Zip <br />State2ip <br />State2ip <br />�- <br />Contracl Price of Work <br />4 zs-- <br />Z S�� 1 Y <br />Phone <br />� 4iYl Q Y"' <br />Contact Person (Plan Revicw) <br />Phone <br />Phene <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 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 BE REVIEWED BY THIS OFFICE. <br />NOTE: W IRING IN NON-DW ELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WAL�S <br />WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINItv1Uti1 <br />OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br />ENVIRONti1ENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABIE EOUIPMENT WITHIN <br />ACCESSIBLE SPACES OR A�ONG 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 />1 HFFEBY CERTIFV THAT I HAVE FEAD AND EXAh11NED THIS APPLICATION AND KNOW TNE SAME TO BE TFUE AND CORFECT. ALl <br />PFOVISIONS OF L;ILVS AND OFDINANCES GOVEFNlNG THIS rT'PE OF WOFK WILL BE COMPCE7ED lh'HETHER SPECIFIED HEFEIN OF <br />NOT, THE GFANTING OFA PEF,111T DOES NOT PFESUM1fE TO GNE AUTNOFITY TO VIOL4TE OF CANCEL THE PFOl4SICNS OF ANY OTNE.R <br />STATE OF LOCAL I.:IW REGUL4TING CONSTFUCTION OR THE PEFFOFM1IANCE OF GONSTRUCTION. THAT I Ahf AUTHORIZED BY TNE <br />OWNER OF TH15 PFOPEFTY TO AEFFOFhI THE LVOFK FOF VVHICN AFFLICATlCN IS MADE AND 1 COM1IPLY L19TH THE STA7c <br />CONTFACiOFS LA1Y 18.2: FCW AND 286.200 WAC. <br />�J <br />Signature <br />ELECAP(FEV 898i <br />Dale <br />E oio5-oc� <br />FEE <br />