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APPLICATION FOR E�ECTRlCAL PFRMIT <br />C11Y OF EVERETT <br />BUILDING DIVISION <br />3100 CEDAR SIREET <br />EVEREIT, WA 98201 <br />PNONE: (425)257-88I0 <br />fAX: (475)257-6857 <br />� J � v`'f' S � <br />� S L9 �-,�:����- <br />PROJECT ADDRESS <br />Qwner <br />Meil Atldrese <br />ciiy <br />s�eierz�P <br />� <br />�� <br />Phone <br />L.�, l � , n ... ��-. /'A� ��cr �a �i� � 1c.3 cb t�� �� ��"j �V hi t� ��A `�%�%�' 'j`l S'SYZ b�S( <br />Tenant <br />Mail Address <br />aty. <br />s�eierz�v <br />Phone <br />O �v rvr- <br />Eleclrical Con�recloi Matl AEtl�ezs City Stele2ip Phone <br />Stale License Number <br />r� :, , d �. ti��. <br />� roposed Use of Building <br />Descriplion ol Work lo Be Dane: <br />ln vJ Us�f'�� j� l�tr.� �! cr(� <br />ConVacl Pnce ol vVork <br />ContactPerson (Plen Review) <br />NOTE: PLANS FOR ELECTRICAL WORK A7 EDUCATIONAL, FACILITIES UTILI2ING STATE FUNDS MUST BE <br />APPROVED BY THE STATE OF WASNING'iON. APPLICP.NTS WITH SUCH „OBS MUST SHOW THE STATE <br />APPROVED P'_ANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46•140. ALL OTHER <br />EDL�CATIONAL FACILITIFS AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO DE IN RACEWAYS, MC OR AC CAOIE <br />HANDICAPPED ACCESSIBIUTY: ELECTRICAL AND COMMUNICATIONS SYSTFM rIECEPTACLES ON WALLS <br />WITHIN ACCESSIBLE SPP.CES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUhTED A MINIMUM <br />OF 15 INCHES ABOVE THE FLOOR. WAC 51 •20 SEC. 3106(c)2. <br />ENVIRONME(�TAL AND OTHER CONTROL RECEP7Ai,LES AND OTHER OPEFlABLE EUUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE PEACH <br />RANGES OF bVAC 51-20 SEC. 3106(b)4 E 8 F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOA. <br />I HEFEBY CEATIFY THA7 I HAVE READ AND EXAMINED THIS APPLICATIJN AND KNOW THE SAA4E TO BE iRUE ANO COFFECT. ALL <br />PROVIS/ONS OF LA WS AND ORO/NANCES GOVEANING THIS 7YPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br />NO', rHE GFANTING OFA PERMl7 DOES NOT PRESUMF TO GIVE AUTHOFI iY TO VIOLATE OR CANCEL THE PROL'ISIONS OF ANY OTHER <br />STATE OR LOCAL L.iW REGULITING CONSTRUCTION OR THE PER�7RMANCE OF CONS7RUC710N. THAT I AM AUTHOFIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM14 THE WORK FOR WHICH APPCICAfION IS �l1ADE AND 1 COMPLY WITH THE STA'E <br />CONTRACTORS LAW �82i ACW AP�D 296.200 WAC. <br />s gne�we <br />L 5( Q� _ FEE <br />oete Fp�(�-01� <br />