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APPLIC�TIQN FOR ELECTRIC�(, . PERMIT � ' <br /> CITY OF EVERETT <br /> BUILDING DlVIS/ON <br /> 3200 CEOAR STREET <br /> EVERETT, WA 9B20> <br /> (425J 267-8B>0 �� / <br /> 108of — l� n` AU�. SouTN��sT -�����_ <br /> PROJECT ADDRESS <br /> �3�a) <br /> �lC SE NA�Se[L N a rres ,u' �fG / h h wh'l l�' T UE�P,Udu u/A `I8.27 �{�u-yo s� <br /> Ownef Mali Address Clty StateJLip Phone <br /> ���fR�Q f'lv ��D�AGES �� -S/4'f1E /���.�ESS <br /> Tenant Mail Addresa Ciry Stale2ip Ptwne <br /> LL �Sanl E�c � �c - D 8�'ei � � �ir� B�ay- (��r) a��• v� B& <br /> Electrical Cont�acto� Mali Add eas rty Slate2lp P ne � <br /> PFl ILLS� • ass � ,�G �I`{ 3DD - ���dG <br /> State License Number Contrect Price of Work <br /> � <br /> i�- PLEjr 2�Si0��✓cE .D.�ti� Pf//wos �aa• `/9io <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Wark to Be Done: (,[)/I��(`. SF-�l//CC �9 ND /.VSr/�-�L /9-G( /.�/ T�..e/D�Q <br /> i� i� � ��� Fo R } ,P�Sia�u�cs i�U /- `/PL�- i3�/G.D/yU <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES �TILIZING STATE FUNDS MUST BE � <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE � <br /> APPROVED PLANS BEFORE CIN 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-DWELLINC�S IS REQUIRED 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 7RAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> � <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG RCCESSIBLE ROUTES OF TRAVEL SHALL B�c 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 CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERN/NG THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR NOT. <br /> THE GR4NTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE <br /> OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTfON. THAT 1 AM AUTHORIZED BY THE OWNER OF <br /> THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE CONTRACTO,QS LAW 18.27 <br /> RCWqND 296.200 WAC. <br /> ��� / C J <br /> �la , �F G � � � �3 FEE •2 `� $�� <br /> � `J <br /> Signaturei ale � i <br /> ELECAV(NkY1011 V � <br /> ✓ �`� ��9/� <br />