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APPLI(�`,TION FOR ELECTRIC(`L PERMIT � <br /> CITYOFEVERETT <br /> BU/LO/NG D/V/8/ON <br /> 8200 CEOAR STREET <br /> EVERETT, WA 9820! <br /> (426J 267-BBfO <br /> � � 0�0 �� l��i r7 � � � <br /> PROJECT ADDRESS <br /> ��21c�c1� �/ti� �'lv � c 9'4Z�' 3isr�gv/�S/= C'v��e �/ �rv.!-YS�o73' <br /> Owner Mail ddress City State2lp pry�e <br /> �//,9- �a s- 3�s��Tr <br /> Tenant Mail Address Ciry StatdZip p�s <br /> s�i7 `� <br /> EleCtrical ContfeCtof Mell Addross Cqy Stnte2lp pry� <br /> Stete I.icense Number Contract Price af Work <br /> Proposed Use of Bullding Contact Person (Plan Review) <br /> Description of Work to Be Done: _ ]`��!L/yJ �(�/�e r' d v r-- �f�� � <br /> �—� <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 296-48-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAF�PED 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 ABOVE THE FLOOR. WAC 51-20 SEC. 3108(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALdNG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3108(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREBY CERTIPY THAT l HAVE READ AND IXAM/NED THIS APPlJCATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> THE GRANTING OF A PERMI�DOES NOT PRESUME TO GIV/E AUTHORITY OKV OL4TE OR CANCE�HE RP OV/S ONS OF ANYEOTHER STATrE� <br /> OR LOCAL LqW REGULqTING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHO!lIZED BY THE OWNER OF <br /> THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPGCATION IS MADE AND I COMPLY WITH THE STATE CONTRACTORS LAW 18.27 <br /> RCW ANO 296.200 WAC. <br /> �,�C�( ,—Ya"'�Z/� (a - 3S�^ � 3� FEE 3 S <br /> Signature Date <br /> �wqEvecq � �\` l <br /> �� �v <br />