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i <br /> APPLIC�'Tl4N FOR ELECTRI�p' . PEHMI { � <br /> CIiV OF EVERFTI <br /> eU1lDING DIV/5/ON <br /> 3?00 CEDAR STRFET <br /> FVfRE1f, WA 4d10► <br /> PHONE:(�25)257-sE 10 <br /> fAX: (I15)T37-dd37 <br /> �z7 e7 u�i=tc� c.��sr �Yr <br /> PROJECT ADDRESS <br /> �2I�k�= c�/aR�s a nr 2 7 0 7 vi,cw cizr_s�.fw� �v-lct4 <br /> OwOEr MmlAdtlress Ciry SletelZp Ptana <br /> � <br /> Tenant Mail Aatlre55 City State2ip P1iMe <br /> rN ��irvi v �=c..ecTi��c. ro ��x 35/7 SHcy'i sr �-w,�-y,�zoi yzs-�sz-�o9? � <br /> ElBctricAl CON� ctor Man Atldress City SIa�e2ip Pha+e � <br /> hn c C� �N 1�Ca p 3 1�1 �T <br /> Stete Ucense Number CoMract PriC�ot Work <br /> rns �S���, b ��a <br /> ProposeC Uae ol 8uilding Contact Person (Plan Review) � <br /> DescripUon ol Work to Be Oane: /��.Cw��� �XS�iS��ti � �CJ/��h � 8�'� 71 �4� : <br /> i <br /> 3— .v��.GcJ c�/,�C.�tlTS � <br /> z— A��' C'�/o�c.�r 17' C , <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPFIOVED 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 W ILL BE REVIEW ED BY THIS OFFICE. <br /> I'�fOTE: WIRING IN NON-DWELLINGS IS RE�UIR�D TO BE IN RACEWAYS, MC�R AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEWI RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES Of TRAVEL SHALL BE MOUNTED A MINIMUM i <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. ; <br /> ENVIRONMENTAL AND OTHER CONTROI. RECEPTRCLES AND OTHER OPEFABLE EOUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3105(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FIOOR. <br /> ! HEAEBY CERTIFY T'iAT f HAVE REAO AND EXPMINED THIS APPLIGPON AND KNOW 77fE SAME TO BE TRUE AND GORRECL ACL <br /> PROVISIONS OF L7W5 ANO ORD7NANCES GOVERNINC Ri75 TYPE OF WORK WILL 8E COMPLETEO WHETMEF SPECIFIED HERfIN OR <br /> NOT, THE GRANTING OF A PERMIT OOES N07 PRESUME TO GIVE AUTMOFITY TO VIOUTE OH GNCEL TNE PAOVlSlONS OF ANY OTNER <br /> S7ATE OR LOCAL UW AEGUUTING CONS7RUCT70N OR THE PEn'FORMANCE OF CONSTRUCT70N. TNAT I AM AU7T�OfiIZED BY TME <br /> OWNER OF TMfS PROPER7Y TO PERFORM THE WORK FOR WHlCH APPLILATION fS M,IDE AND f CANPLY WlTH ME STa7E <br /> CONTRACTOIiS UW iB27 RCW AND 296.2D0 WAC. <br /> � :� ,—S -(�� FEE <br /> � ipnaiure De�e <br /> � _ <br /> Fo�o7 -c,t3 <br />