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APPLICATION FOR ELECTRICAL PERMIT <br /> C/TYOFEVERETT <br /> BU/LD/NG DlVISION <br /> 3200 CEDAR S7REET <br /> EVERET7; WA 9B201 �,` a0 ���/ <br /> (425J 257-88 i0 <br /> CO6� 6-� �,(� <br /> %D?r'7 - /4''"�A�z Si= 1,�w:.J lr �`,Z -- <br /> PROJECT ADDRESS <br /> OWnef Mail Address City Slale2ip Phot.e <br /> !'i,n ..I a � �C� „ti in']/'7 /i"-' /7,.z .`�i: k '1a;� f�Jl..•z Y'f � l,.J�. �Id'7F7d� Y.!_i-�iS.7 - 371 L• <br /> Tenant MailAddress City State2ip Phone <br /> /.dl t�a � ' � 1 i �ll�ol i'i� '.r� - i{" l��:�:� i�..�. I'✓lu.lc:l'{<o. (.J<� �'17175 ./�S"�7NJ�'- 7l[ik+ <br /> Electrical Contracto� Mail Address City Stale2ip Phone <br /> 1 L f i. i Z �F :�l3 i3-f- �..��'�' <br /> State License Number Contract Price of Work <br /> D � ..�I •_� m d�;.-�_ <br /> Proposed Use ot 6uilding Contact Person (Plan Review) <br /> Description of Work to Be Done: ..�p,,�„�) �.�ro,�i ,,,r...,`�- Jo r ei tiJ-��•�e t�c�c 1�, a•1 lo c�� t <br /> 'C �CiS'��..0 Pl1 '•{ ��cn�� Ilr..,.: (� ;�.. t�-L. (I I�nr.lt-�:r: U C..r.L'� L;�,'G '4�-tJc- c! (� <br /> � 'c ��� S'� r �. � 3� a c yQ 2-r �t/f C' <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST 6E <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 IS REQUIRED TO BE IN fZ4CEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMM�INICA710NS SY3TEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHr1LL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSI6LE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SN,4LL BE MOUNTED WITHIN THE REACH <br /> R.4NGES OF WAC 51-20 SEC. 3106(b)4 E 8 F AND NOT LESS THAN 3"o INCHES ABOVE THE FLOOR. <br /> I HEREBY CEr7TIFY THAT I HAVE READ AND EXA1dINED T'r115 APPL/CATION AND KNOW THE SA�.fE r0 BE TRUE AND CORR�CL ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVErth7NG T'HIS TYPE OF WORK WILL Bc'CO7.;PLETED WHETHER SrECIFlcD HEREIN OR NOT, <br /> THE GRAN7ING OF A FERMI(DOES NU7'PFcSUM1fE TO GIVE AU7HOftlTY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY 07HER STATE <br /> OR LOCAL LAW REGULATlNG CCNSTRUCTION OR THE PEnFOFM1fANCE OF Cv.NS i 3UCTION. TNAT l AM AUTHORIZc'D BY THE OWNER OF <br /> THIS PROFER7Y TO�EftFORM1f THE WORK FOR WHlCH AFFUCATION IS IdADc AND!CO'dPLY WITN THE STATc CONi RACTORS LA W 98.27 <br /> RCW AND 296.200 WAC. <br /> .�"�t�'-f�t�'.� G; - � 4 - n G. Fee <br /> � Signature � Date <br /> e�eon�aev ecei � �(�l5 0 lC — ���, <br />