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APPLICA�ON FOR ELECTRICAI�PERMIT <br /> CITYOFEVERETT <br /> BU/LD/NG D/V/S/ON <br /> 3200 CEDAR STREET <br /> fVERETT, WA 9B20f <br /> (426J 267•B8f0 <br /> �,g?C x �,tJ1f✓E �,er vE �r/� <br /> PROJECT ADDRESS <br /> ��D�-N �+rlw� 1.-�G SI `f Xl� 6��� S'T.- �'�t�� W� 4�115 <br /> owner ��i naaress ciy si�erzrP a�(o S y�hq�+e5�,$� <br /> ll <br /> Tenant MailAddrace City SUtelLlp C�V7 �� <br /> R,Erti �Fa�T ���cds��-.20�1 sw �l � ST lL�� "' � R- � �F�z.sr s�� <br /> EleMricalCantrector MeilAddrecs CY�/ Sute2ip Phm� <br /> QEr N F�S�` 1 I D�.T ��407� <br /> State License Number Contrect Price af Work <br /> ✓��2 6�n;5e ��p Zo6 2a7 72�r� <br /> Proposed Use of Building Contact Person (Plan eview) <br /> Description of Workto Ba�one: / v" P / �W�G �� AM� � 2fl� r�'�� � <br /> Pe2/h A�r�G n� 5�yt.v��c; <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 Ml;ST SHOW THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296•46-140. ALL OTHER <br /> EDUGATIONAL FACILITIES AND ALL HEALTH GARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON•DWELLINGS IS RE�]UIRED TO BE IN RP.CEWAYS, 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 OTHCR OPERABLE E�UIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRA\'EL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 31D6(b)4 E� F'AND NOT LESS THAN 36 INCHES:,�O\�E THE FLOOR. <br /> I NEREBY CER77fY THAT I HAVE READ AND EXAMINED 7HIS APPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PAOV/SIONS OF LAWS AND ORDIN.4NCES GOVERNING THIS 7YPE OF WORK INILL BE COMPLETED WHETHER SPECIFIED HEREIN OR NOT, <br /> THE GRANilNG OF A PERMlT DOES NOT PRESUM1fE TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE AROVISIONS OF ANY OTNER STATE <br /> OR LOCAL LAW REGULATWG COFSTRUCTION OR THE PERFORMANCE CF CONSTRUCTION. 7HAT!AM AUTHORIZED BY 7HE OWNER OF <br /> THIS PROPERTY T(.. _�2rORM 7HE N ORH FOR WHlCH APPLICATION 1S MADE AND 1 COMPLY WITN TME STATE CONTRACTORS LAW 18.27 <br /> RGW AND 296.200 WAQ � /�Emp i <br /> �oUO2'o3 i � <br /> U(�QZ� FEE <br /> Slgnature �81e <br />