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APPLIC 1TION FOR ELECTRIC �,L PERMIT <br />CITYOFEVERETT <br />BUILOING D/VlSION <br />3200 CEDAq STREEr <br />EVERE7T, WA 9820> <br />(475J 257-BB>0 <br />�}v,2 `7— '%T N Jr,cr� �5 E <br />PROJECTADDRESS <br />c�cy, <br />���%F�' /�yi �Ot✓ �'J�cl i �'� �I �H/� %)�l1c <br />Tenant <br />Mail Address <br />City <br />� <br />� <br />State2ip Phane <br />State2ip <br />Phone <br />� _F. / <br />Electrical Contrecto� MailAddress Ciry SlatelLip Phone <br />✓/� �GO <br />S:ate Li�anse Number Contract Price of Work <br />Proposed Use af Building <br />Description of Work to Be Dune: <br />� ic:.4 <br />Contact Person (Plan Review) <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, f�.CILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY THE STATE OF WASHINCTON. 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 RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TR.4VEL SHALL BE MOUNTED A MINIMUM <br />OF 15 INCHES A20VE THE FLOOR. WAC 51-2U 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 MOUNTED WITHIN THE REr1CH <br />RFNGES OF WAC 51-20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE rLOOR. <br />1 HERE9V CERTIFY THAT ! HAVE READ AND E�CAM1'INE7 'fHIS APPLICATION AND XNOLS' THE SAME TO BE TRUE AND CORREC% ALL <br />PROVISIONS OF LALYS AND ORDINANCES GOVERNING THIS TYPE OF WORK W1LL BE COM1fPLE7ED WHFTN.ER SPEGFIED HEREIN OR NOT, <br />i HE GfL7NTfNG CF A PER,NI r OOES 'JOr PRESU,NE TO G1VE AU7HORIT� TO VIOW rE OR CANCEL THE: �OVISIONS OF ANY OTHER S7ATE <br />OR LOCAL LAW REGULATING COi\�: iRUCTlON OR iHE PE,4FORMANCE OF CON57RUCi ION. THAT / A,L! AU7HORIZED HY THE OWNER OF <br />TNIS PROPERTY TO PEFFORM Tf== WORK FOR WHICH APPLICAiION IS �t1ADE AND I COh1FLY W/TH THE 57'A'fE CONTftACTORS 47W 18.21 <br />RC W ANO 296.200 WAC. <br />Signature <br />ElECM�RfY6Y!) <br />Date <br />,.�-. � �1 y/ C' <br />��v ' � � ' <br />FEE <br />