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APPLICAj �ON FOR ELECTRICAL�r�ERMIT <br /> C/IY OF EVER:1i <br /> BUILDING DIVISION / <br /> 3200 CEDAR STREET <br /> EVERETf, WA 98201 <br /> PHONE:(425)257-8810 <br /> FAX: (425)257-8857 <br /> 2 2� � 9' � G� C/��� CC �� <br /> PROJECT ADDRESS <br /> TU +� �/J �N, l�,vr �6 vi '���i� ��. 5 03 -7�1/ - 5'�// <br /> Owner Mail Address City State2ip Pho�e <br /> l�"— <br /> C-y2f 3�8 -6�`v�"i <br /> Tenant MailAddress / l/� Ciry Slate2ip Phone <br /> i�� f �r�2c�`rY P.��FcT���� � � � 2c� ri Ci/�'- i�7v/ - 2s= ��,�s�� <br /> Eleclrical Contractor Mail Adtlress Ci�y State2ip Phone <br /> i�zsr�uP ,r 9� 73u/ <br /> Slate License Number Contract Price of Work <br /> �'– f — D <br /> Proposed Use ot Building Contact Person (Plan Review) <br /> Descriptiun of Work to Be Done: �� �G/,��./ �y r`1 i � �G; �,i Zr /.C�i �� �c- � c'G�/L <br /> s��Gr'�- ���,c_i Ov//f/�. s�r� �;v- c��vo ��.��-- J;�,�,. ,Z� �J-�.acQO� �� <br /> ��;//%t/ ti£C /�� �.oC D�-C� <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 FACIL�TIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEW ED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REOIJIRED TO BE IN RACEWAY5, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND CUiviMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLF ROUTES OF '(RAVEL SHP.LL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR, WAC 51-20 SEC. 3105(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE �EOUIPMENT WITHIN <br /> ACCESSIBLF SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED W ITHIN THE REACH <br /> RANGES OF WAC 57•20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 I�CHES ABOVE THE FLOOR. <br /> 1 HEFEBY CERTIFY iHAT! HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TFUE AND CORRECL ALL <br /> PFOV/SIONS OF LAWS AND ORDINANCES GOVERN/NG THIS TYPE OF WOFK WlLL BE COMPLETED WHETHER SPEClFIEU HEFEIN OF <br /> NOT. THE GRANTING OF A PEHMIT DOES NOT PAESUME TO GIVE AUTNOFITY TO VIOLATE OF CANCEL THE PFOVISIONS OF ANY OTHER <br /> S7ATE OR LOCAL L7W REGULAT/NG CONSTFUCTION OR THE PEFFOFhfANCE OF CONSTFUCTION. THAT 1 AM AUTHORIZED BY THE <br /> OWNER OF TH/S ?FOPERTY TO PEAFORh4 THE WORK FOR WHICH APPLIGAT/Ck IS MAGE AND 1 COAIPLY WITH THE STATE <br /> CONTRACTORS L1W 19.27 FCvV AND 296200 WAC. <br /> � � �'.rt� - �`�7�-C�� FEE <br /> SignaWre Date r_,��Z� <br /> cv� <br /> ELECAP(REV 898� <br />