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APPUC,�ION FOR ELECTRIC�� . PERMIT <br /> CITY OF EYERETT <br /> BU/LD/NG D/V/S/ON <br /> 3200 CEDAR STREET <br /> EVERETT, WA 9B201 <br /> (425J257-BBfO �_�6 _03 <br /> ,� � � CO3o7-0?( <br /> _����� ����or� l�k �i�, .11 � i� 9b;�o�/ <br /> PROJECT ADDRESS <br /> I��I.K `� �� C.rr�(r �'7�/C�1 :�nc..c , � � . _ � / � <br /> Owne� MailAddress � `"��'�` ��F�r'�I �� ' ..3�o- /3x' <br /> Ciry SWINZip Phonc <br /> Tenant Mail Address <br /> ���Y Stale2ip P.ionc <br /> 0 <br /> ��'•i�r�.t�\ �i��c�-� c '�v�.� � �b1��U1 � `�f- � J� iat1 �i {�� 94�Di �/2�':=CS- iL-.7"� <br /> EleclncalConlraclo� MailACdress Cily Stale/Zip Phone <br /> `x,,.,�, � �� li N H ll� 37�, c`� <br /> State Lmense Number Contract Price of Work <br /> Proposed Use of Buildinc� Contact Person (Plan Review) <br /> Description of Vvork to De Donc: I�\5����\ � �_.. �'�`�� 1r , � <br /> _ � lq�, l�lcti n� :�l�S��� -.� <br /> �-- <br /> NOTE: PLANS FOR �°ECTRICAL WORK AT GDUCATIONAL, FACILITIES UTILIZING STATE FUNDS fdUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BEFORE CITY OF EV[RETi PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAI FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOl E: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACL�S 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 /> ENVIRONMEPJTAL AND OTHER CONTROL RECEFTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG AC�ESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E S F AND NOT LESS THAN 36 INCHES ABOVE THE �LOOR. <br /> I HERE�Y CERTIFY THAr 1 NAVE READ AND E\AM17INED TNiS APPUCAT,ON AND HNOW THE SllhfE TO H[ TRUE AND CORAECT. ALL <br /> PROVIS/ONS OF UI WS AND OFDINAf.�C[5 GOVERNING THIS TVPE OF INORK 149LC OE COMPLETED Ih'HETHER SPC-CIFIED NEREIN OR NOT. <br /> TNE GRANTING JF A PERMIT DOL-S NOT PRESURI[TO GNE AUTHORITY TJ VIOLAI E OR CANCEL iHE PROVIS/ONS OF ANY OTHER STATE <br /> OR LOCAL LAW REGUTATING CONSTRUCTION OR THC-PERFORhfANCE C�'CONSTRUCTION. THAT(AM AUTHORlZED BY THE O WNER OF <br /> THIS PROPER7Y TO PERPORM 7NE WORK FOR lt'HlCH APPLICA710N IS A4�OE AND 1 COh1PLY WITH THE STATE CONrRALTORS LAW f8.27 <br /> RCW AND 296200 WAC. <br /> � )7 / �• // <br /> /(-Q'fC'r!1 ic: , � ,� � l�^�))'r1 ui i���3 FEE <br /> Signa ure Datc <br /> ttcGv(n[V eoel <br /> � O�o .l - C�11 <br />