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APPLIG�TION FOR ELECTRICH� PERMI'T <br />C/TYOFEVERETT <br />BUILDING OlVIS/ON <br />3200 CEOAR STREET <br />EVERET7; WA 9B20i <br />�azs� zs� ea�o <br />� ��tk����f rii��til;,i <br />_�� C; 1�r<�� �1 ������i<' <br />PROJECT ADDRESS <br />`�-��05 <br />Co508'°�( <br />--••���� maunwress ciry State2ip PhonO <br />i•��`� i:AIlYtl��`� <br />����'�r 11;.'���i�Vl l�, ��„-'�/ �_'�`� �Ctt'(� F_�Ci:C�'� �'���� �IZ�-�f"t'�C4�1 <br />Tenant <br />Mail Address <br />City <br />Stale2ip <br />Phone <br />\\�t".1:17_; f�. I��'� WC ';I' 1ti �a,;IN� P17 CVEI�CT� Vv'A 1�(�u�{ a2S 51'� ly�l <br />Electncal Contractor Mail Address Ciry StatelZip Phone <br />v,=�:�z N L e,�� �� � `I� �s; c�;��, <br />State License Number Contract Price of Work <br />L-F�-1Ci�`� ��rU}l�� i���l�:f=L <br />Proposed Use of Building Contact Perso �(Plan Review) <br />Description of Wark to Be Done: <br />, <br />Lc 1•� <br />i - <br />� l�� l r ���,' j? I'. '.� l�; i i� h'. <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: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN R,4CEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />WITHIN ACCESSI['LE SPACES OR ALONG ACCESSIBLE ROUTES OF TR,4VEL SHALL BE 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 OPERABLE EQUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE b10UNTED WITHIN THE REACH <br />RANGES OF WAC 51-20 SEC. 3106(b)4 E 8 F AND NOT LESS THAN 36 INCHES A60VE THE FLOOR. <br />I HERE9Y CERTlFY THAr I HAVE READ ANG EYA!dINED THIS APPLICATION AND tiNOLV TNE SAME TO BE iRUE AND CORftEC% AL: <br />F-40V1SfON5 OF LALVS AND OROINANCES GOVERMNG rHIS TYPE OF WORK WILL EE CO,VPLETED WHE7HE.4 SPECIFlED HERE!N OR NOT, <br />TNE GRANTLVG OF A PERWI i COES NOT P.4ESUb1E r0 GII�E AUTHORITY TO V/OL:7TE OR CANCEL THE Pft0'/ISlONS OF ANY OTHER STATe <br />OR LOCAL L7W REGULATING CONSTn'UCTION OR iNE FE.4FCR�tWh'CE OF COA'STRUGTION. THAT / A�V nUTHOR2ED BY THE OIh�NCR Oh <br />THIS PROPERi Y� TO PERFOR�lf THE 1NORK FOR lh'NICH APPL/CATlON 1S ,5lACE AND 1 COh1PLY lh9TH i HE S7ATt CONTRACi ORS f.;1Vl' 781 i <br />RCW qND 296.200 bVAC. <br />�—::�'([;l)) (.'L'c�:<<�I <br />Signature <br />cicco�,q..v;:e� <br />�_ �-�'� <br />�: <br />Date <br />FEE ,��, <br />_) � � <br />l' ( <br />