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APPLIC�ION FOR ELECTRIC�'L PERMIT <br />CITY OF EVERETT <br />BUILDING D/VISION <br />3200 CEDAR STREEi <br />EVEP:Tr WA 98201 <br />PHUNE: (425)257-8810 <br />FAX: (425)257-8857 <br />� -s� �'.ef"�� <br />PROJECT ADDRESS <br />tyt ir•%�.e% G�e /�t,"s "L,Z,2 Skv/i e i c,��r i,�� 9$lc, / <br />Ownet Mail Address City Slale2ip Phon= <br />Tenant Mail Address City Stafe2ip Phone �• <br />_ �.� <br />Mail Atldress <br />i%5� E'G -r-� Oz.z BL <br />State License Number <br />t'�� S il�C,e.�sl:� � <br />Proposed Use of Building <br />Description of Work to Be Done: �u.� �yu}p <br />City <br />Stale2ip <br />. ��y_ <br />Contrac Price of Work <br />Contact Person (Plan Review) <br />Phone <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 PERMIT WILL BE ISSUED. WAC 296•n6-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br />NOTE: WIRING IN NON•DWELLINGS IS REOUIRED TO BE IN RACEWAYS, MC OR AC CA6LE. <br />HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br />W ITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUtit <br />OF 15 INCHES ABOVE THE FLOOR. WAC 57-20 SEC. 3106(c)2. <br />ENVIRONMENTAL AND OTHER CONTROL RECEFTACLES 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 />I HEREBY CEFTfFY THAT 1 HAVE READ AND EXAMINED THIS APPLICArION AND KN04i� TNE SAME TO 8F_ TRUE AND COFRECL ALL <br />PFOV/S10NS OF LAWS AND OFDINANCES GOVERNING THIS TYPE OF WOFK W1LL 6E COMPLETED WHETHER SPECIFIED HEREIN OR <br />NOT, THE GRANTING OF A PEFMIT DOES NOT PFESUh1E TO GNE AUTHOFI7Y TO VIOLA7E OR CANCEL THE PFOVISIONS OF ANY O i NER <br />STATE OF LOCAL LiW FEGUI..ITING CONSTRUCTION OR 7HE PEFFORMANCE OF CGNSTFUCTION. THAT I AM AUTHORIZED 6Y TNE <br />OWNER OF THIS P,iOP�RTY TO PERFORM1I THE WORK FOR WH/CH APPLICATICN IS MADE AND / COM14PLY WITN THE STATE <br />CONTRACTORS LAbV 18.: i FCW AND 2P6200 WAC. <br />C_� <br />��y������= uate <br />ci rrnoiuvv �rn. <br />FEE <br />