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I APPLICA�vN FOR ELECTRICA���ERMIY <br /> CITY OF EVEREli <br /> BUILDING DIV/SION <br /> 3200 CEDAR SlREEi <br /> EVEREii, WA 9820I <br /> PHONE:(425)257-8810 <br /> FAX: (425)257-8857 <br /> J 1 �l Is S�1 ve� `o%e �n�c Evcrete G1o. <br /> PROJECT ADDRESS <br /> (�jen �a�li a j� I1 q15 S;Ivc� L.qlcc 1.��. Cve�eer LJq-�h�fl4t�r1 9BZ=8 �/2S '33� Sy�3 <br /> O��ner MailAtltlress City State2ip Phone <br /> Tenant Meil Address City State2ip Phone <br /> l�l-v'�1i i` WaL� �'i:'����t� /}�� \-�J'2k� - — <br /> Electrical Contractor Mail Atleress Ciry State/Zip Phone <br /> [1 .��'.i��A� e ��� w�i- <br /> l' cr"U�I -I� 7�— �csi� ,P•�� �L un1�y <br /> State License Number �Comract Price of Work <br /> IZi=r�0�7G�� CZcr�1 i� �IUm� l��-�-CiZ <br /> Proposed Use ot Building Conlect Person (Plan Review) <br /> DescriplionofWorktoBeDone: {}7�7 oNi� ��d�� " U-Ah�f' l�k��� � %iii�� !{i3n�T IJ nk�,, OvT�TS . �+-� <br /> C��i� �VT�,d L�Fc--(�Ru`2c c() Fr1F2'- u'� ���i MU�w ON� �1c.Hi s�-iic+i A�fJ f�(L� iNJ ���i�c;1Ep <br /> U�SL L 1 j. <br /> NOTE: PLANS FOR ELECTRICAL WORK AT ED'JCATIONAL, 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 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND AL_ HEALTH CARE FACILITIES PLANS W ILL BE REVIE'NED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REOUIRED 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 A60VE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPT.4CLES AND OTHER OPERABLE �EOUIPMENT WITHIN <br /> AC:,ESSIBLE SPACES UR ALONG ACCESSIBLE ROUTES OF TRAVEL SHA;.L 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 CEflTIFY THAT I HAVE READ.IND EXAM11WED THIS APPLICATION AND KNOLY THE SAME TO BE TFUE AND COFAECL ALL <br /> PFOVISIONS OF LAWS AND OFDINANCES GOVEFNING THIS TYPE OF WOFK 4VILL 6E COMPLETED WHETHER SPEGFIED HEFElN OR <br /> NOT, THE GFANTING OF A PERMIT DOES NOT FRESUME TO GIVE AUTHOFITY TO VIOLATE OR CANCEL THE PFOVISIONS OFANYOTHEA <br /> StATE OF LOCAL Lr1W FEGULATING CONSTFUCTION OR THE PEFFOFM11ANCE OF CONSTFUCTION. THAT I AM AUTHORIZED HY THE <br /> OWNER OF THIS PFOPEATV TO PERFORM14 THE bYORK FOR WHICH APPLICATICN IS A1ADE AND 1 CO1dFLY WITH THE STA;E <br /> CONTFACTORS LAW 78.:7 FCW AND 296.200 WAC. <br /> � � `�� ��� �"�OZ FEE <br /> � ` <br /> -Z. v <br /> Signature Date �aZ�3-�xb - <br /> ELECAP(REV 898� <br />