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APPLICATION FOR ELECTRICAL PERMIT <br />C/TY OF EVEREIT <br />BUILOING D/VIS/ON <br />3200 CEDAR STREE* <br />EVEREff, WA 982( i <br />PHONE: (425.1257-.�810 <br />FAX.• (425)257-8 457 <br />,-;��,d5 �,(� /'�,�K,�l�e�� 13��� -�P,t�tt <br />��OJECT ADDRESS � <br />��� l� /�,�y�y �� � � �i� � �` �� <br />Owne� � M Address Ciry � <br />Jl/�/ 1 <br />Tenant <br />Mail AdAress <br />���� <br />Electrical Cornractor Maii Address <br />State License P�umber <br />Proposed Use of Building <br />Description of Work to Be Dcne: <br />City <br />CIIy <br />�'Ni20a.0 i� <br />IJ�/r.� <br />�J <br />rS�- <br />Slete2ip <br />State2lp <br />State2ip <br />Contract Price of Work <br />Contact Person (Plan Review) <br />�as� <br />337 - 9 �/3,b <br />u� 3- b;:�3 <br />Phone <br />Phone <br />Phone <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 />EDUCATIONA! FACILITIES AND ALL HEALTH CARE FACILITIES P�ANS WILL BE REVIcWED BY THIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN HACEWAYS, 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 MINIMUM <br />OF 15 INCHES ABOVE THE �LOOR. WAC 51-20 SEC. 3106(c)2, <br />ENVIRO�IMENTAL A1JD OTHER CONTROI. RECEPTACLES HND OTHER OPEFABLE E�UIPMENT WITHIN <br />ACCESSIBLE SPACcS OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br />RANGES OF WAC 51-20 SEC. 3106(b)4 E 8 F AtJD NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />1 HEAEBY CERTIFY THAT I HAVE READ AND EXAMINED TH/S APPLICATION AND KNOW THE SAME TO BE TRUE AND CORFECT. ALL <br />PFOVISIONS OF L16YS AND ORDINANCES GOVERNlNG THIS TYPE OF WOFK WILL 5E COMPLETED WHETHEF SPECIFIED HEREIN OR <br />NOT. 7HE GRANTING OF A PERMI i DOES NOT PRESUM11E i O GIVE AUTHORITY TO L'lOLATE OR CAfJCEL THE PROVISIONS OF ANY OTHER <br />STATf OR LOCAL W W FEGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTFUCTlON. THAT I AM AUTHOFIZED BY THE <br />OWNER OF THIS PFOPERTY TO PERFORM THE WORK FOA WHICH APFLICATlON fS MADE AND I CO�LIPLY WITH THE STATE <br />CONTRACTORS GAW 182i FCW AND 296.200 NAC. <br />� <br />Signature <br />L���o2 <br />',�00 � FEE <br />Date <br />