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APPLIC;' TION FOR ELECI"RIC.' '_ PERMIT <br /> C/TYOFEVERETT <br /> BU/LO/NG D/V/S/ON <br /> :i200 CEOAR STREET <br /> EVERETT, WA 9B201 <br /> (425f 257-8B10 <br /> `�G� 7 - L� 7 r��; , S�f S, c, <br /> PROJECTADDRESS <br /> �;o �� !/�lL� - yG'7- �/7�,-�=��f ,s �� �- �U� 9�,�u� �/�s-.zs�-'�9ic <br /> Owne� MailAddress Ciry State/Zip Phone <br /> .�,��1� � AS /1,bc u--'L <br /> Tenant MailAddress City StatelLip Phone <br /> �2 � �/�Jf� �I�� )�,�, � �'I') ,� �� <br /> Ele�tricalContraCtar MailAddress City State/Zip Phone <br /> State License Number ' <br /> Contract Price of Work <br /> a� P, <br /> S <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: „�� y�' ( � C��+� � �� ��� � /�/ <br /> ,;�,', ; �, _. �_ ��. .� aci•� -� !' �..� - �S� � f/ � / �: /;'1` <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 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS I� REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COh7MUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROU7ES OF TR,4VEL SHALL BE MQUNTED A MINIMUM <br /> OF 15 INC�!ES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER C�NTROL RECEPTACLES AND OTHER OPER,qBLE EQUIPMENT WITHIN <br /> RCCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF T�AVEL SHALL BE MOUNTED WITHIN THE REACH <br /> R.4NGES OF WAC 51-20 SEC. 3106(b)4 E 8 F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREBY CERrIFY THAT!HAVE READ AND EXqMINED TH/S APPLICAT/ON AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROV/S/ONS OF LqWS iND ORD/NANCES GOVERN/NG THIS TYPE OF WORK WILL BE COMPLE7ED WHETHER SPcC/F/ED HERElN OR NOT, <br /> THE GRANTING OF A f ERMIT DDES NOT PRESUME r0 GIVE AU7HORITY TO VIOLATE OR CANCEL THE PROVIS/ONS OF ANY OTHER STA7E <br /> OR LOCAL LAW REGI iLA7/NG CONS7RJCT/ON OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTNOR/ZED BY THE OWNER OF <br /> THIS PROPERN TO I�ERFORM THE WORI(FOR WH/CH APPL/CAT/ON IS M11ADE AND l COMPLY WITH THE SrATE CONTRACrOFS LAW 18.27 <br /> RCW AND 2g6.200 W,IC. . <br /> �� � :� �. <br /> - — l� �CrLc����-- � � ) —�4� - y'9 Fe � <br />� Signature �ate � ��_� G C� <br /> e�curcnev ece� <br /> ��I�/Z —��� <br /> f <br />