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APPL�G .TIGN FOR ELECTRICt � PERMIT <br /> C/TY OF EVERETT <br /> BU/LD/NG D/V/S/ON <br /> 3200 CEOAR STREET <br /> EVERETT, WA 9B20> <br /> (425J 257-B6>0 <br /> �yl S L/�F S�� �PreT/� <br /> PROJECT ADDRESS <br /> F, tivt ���v�C.Qf✓��� c//� �S/J~,-9Gr'S:� �s.'c�✓e.�f �/.Ji9 '>�'2�� yz=.3�3-5-� z� <br /> OWner INaiiAddress C,ty SlatrJZip Phone <br /> Tenant NailAddress CNy State2lp Phone <br /> DlJ,.cJ�✓L <br /> ElectficalContfactof MailAddress Cit�� S1a6:21p ?hone <br /> _ Sx�� <br /> State License Number Contra:t Prica of Work ' <br /> ��t��LP <br /> Prapose Use ot Buiiding Contact Person (Plan Revievi) <br /> Description of Workto Be Done: _ �i J`2 �.�� I�(i�'tS <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIOPLIL, FACILITIES UTILIZING Sl"ATE FUND3 IuIUST BE <br /> APPROVED BY THE STATE �F 1NASHINGTON. APPLICP,NTS WITH SUCH JOBS NIUST SHOW 'fHE STATE <br /> APPROVED PLANS BEFORE CITI' OF EVEF2ETT PERMIT WILL BE ISSUED. WAC 256-46-140. ,�LL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE F'ACILITIES f7LANS WILL BE REVIEVVf:D BY THIS OFFICE. <br /> N07E: VIIIRING IN NON-DWELI_INGS IS REQUIRED TD BE I�I RACEWAYS, MC OR AC G.4E;LE. <br /> HANDICAPPED ACCESSIBILIT!: ELECTRICAL AND C��MMUNICATIONS SYST?M RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIDL_ 'OUTES OF TRAVEL SHALL BE :1AOUNTED .4 MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 31. c'12. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERAB�E EQUIPME��T WITH�N <br /> ACCESSIBLE SPACES OR ALO�IG I�CCESSIBLE ROUTES OF TRp,VEL SHALL BE MOUNTEI7 WITHIN l'HE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E & F AND NOT LESS THAN 36 II�CHES P,I30VE THE FLOOR. <br /> I HEREBY CERTIFY THAT I HAVE REAU AA'D EXAMINED THIS APPLICATION AfJD KNOW THE SAiNe TO BE TRUE AND CCRRECL ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THiS TYPE OF WORK W/ll BE COh!PLETED WHETHER SPECIFIED HE17E/N OR NOT, <br /> THE GRA�JT/NG OF A PERMIT DOES NOI'PRESUME TO GIV�AUTHORITY Ti)VlOLATE OR CANCEL 1'HE PROVISIUNS OF ANY(1THER STATE <br /> OR LOCAL LAW REGULATING CONSTRUCTH7N OR THE PE!7FORMANCE OF'CONSTRUGT/ON. THA7"I AM A6'THC�RIZED BY TH�OWNER OF <br /> TH/S PROPERTY TO PERFORM THE WOf i,K f"OR WHICH APPLICP..T.'�N IS MIIDE A�VD I COMPLY WITH THE STATE CONTRACTO 4S LAW 1 B.27 <br /> RCW AND 296.200 WAC. <br /> ��� ��—�'S� _ FEE /�� <br /> gnature Date <br /> e�euWr;eveoe� / <br /> ll' l'}l�C` �. <br /> l. <br />