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APPLIG .TION FOR ELECTRICi .� PERMIT <br />C/TY Of fVERETT <br />BUILO/NG D/V/S/ON <br />3200 CEOAR STREET <br />EVERETI, WA 8B20> <br />(426J 167-B8f0 <br />� <br />'� ,� i�6 �. � /�-dF. �(� C rc7SC�'h/ d% % � a� �� <br />PROJECT ADDRESS <br />'�'!i'9�-1t'✓, �%/�2 �' G� wi� <br />Owner <br />Tenant <br />State License Number <br />Proposed Use of Bullding <br />MailAddrota <br />MaA Addreas <br />Description of Work to Be Dane: /��(�.Q, �q�i�e <br />Clly <br />Cfly <br />�m <br />StatelZip <br />Stete2lp <br />Contract Price of Work <br />Person (P�an Review) <br />Phone <br />Phona <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br />APPROVED BY THE gTATE OF WASHINGTON. APPLICANTS WI"'H SUCH JOBS MUST SHOW THE STATE <br />APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-48-140. ALL OTF'ER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br />NOTE: V�IRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />HANDICAPPED ACC'ESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />4'VITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3108(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 REACH <br />RANGES OF WAC 51-20 SEC. 3106(b)4 E S F AIJD NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />I YEREBY CERTIPY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OFlAWS AND ORDINANCES GOVERNING TNIS TYPE OF WORK WILL BE COMPLETED WNETHER SPECIFIED HEREIN OR NOT, <br />THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE <br />OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY iHE O WNER OF <br />THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPlJCATION IS MADE AND I COMPLY WITH THE STATE CONTRACTORS LAW 18.27 <br />RCW ANO 296.200 WAC. <br />�/�2 � -�l�9 �-e-%-�(� /�'a��• Q % <br />Signature Date <br />0.EUPIneVeGE1 / ��/O /"� �� <br />� (l <br />FEE � J <br />