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APPLICATION FOR ELECTRICAL PERMIT <br />CITY OF EVERETT <br />BUILDING DIVISION <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />PHONE: (425)257.8810 <br />FAX: (425)257.8857 <br />PROJECT ADDRESS <br />Owner Mail Address City Slate/Zip Phone <br />,% ohN /,✓ 9/--/ /IOd tUckt-77. wq, /V.2i054 y11=�d`6—S<sS� <br />Tenant Mail Address City State/Zip Phone <br />W7&W*I7/-h4(- s'/674) - CO, /2 1/9 /iwyfy S. #2- zZU'J ,orb, W20fL <br />Electrical Contractor Mail Address City Slate/Zip Phone r <br />sNTzJZrcL, /471]� -34>vo, �F <br />Slate License Number Contract Price of Work <br />Proposed Use of Building Contact Person (Plan Review) / <br />Description of Work to Be Done: _ .f/S7/}cr_ Z4LCIFY/J!//i7Z0 Flttl/<gU/c LEb Dr5[X/lyjr NLrH• hoUrJLE <br />C/l'f11Y,57 P JA/ C -Irlmlf GT aN /30THA�l*rl. I a/rL <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 PERNIIT 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 TRAVEL 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 MOUNTED WITHIN THE REACH <br />RANGES OF WAC 51-20 SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS JOPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br />NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION, THAT/ AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 16.27 RCW AND 296.200 WAC.' <br />�4q <br />FEE <br />Signature Date <br />