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(( r <br /> APPLICAl'ION FOR ELECTRICAL PERMIT <br /> CITY OF EVERETT <br /> BUILDING DIVISION <br /> 3200 CEDAR STREET <br /> EVERETT, WA 98201 <br /> PHONE.*(425)257.8810 <br /> FAX (425)257.8857 <br /> (5) 6P — SME 42.5 -255-gi p <br /> �rn 3T-, J. , Ly� �r. <br /> ROJECT ADDRESS A2s --681 - 71 7� <br /> �jc-I N I-; . ) < N G . IJ2- 114 I /-I r-a Ave <S-L- \A1A .9S65K <br /> Owner ail Address City State/Zip Phone <br /> �n) U p Y Sw�► i )'Z 1 CA 6 6 I S;-. V ct2 E T-`F, - �A 8 1 <br /> WoobS 72 1 (Bl • S W `� - .� <br /> Tenant(S)., Mail Address City State/Zip Phone <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> OW Iv=V-, An Af264(;-. <br /> ��1' z tN - 1 <br /> Stale License Number (Swiract Price of Work <br /> Proposed Use of Building nwha? - C AhpJt) . <br /> Contact Person (Plan Review) <br /> Description of Work to Be Done: RL: {V L-A"LC C-c LL J S w t{y c-d r-t-Mr rr r 1L�-1q:l— <br /> I <br /> cL1 IrrTY WtL-c Y; -t-UC JPO OFF <br /> l <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: WIPING IN NON-DWELLINGS 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 TRAVEL SHALL 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 /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E 8, F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR, <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br /> NOT, THE GRANTING OFA PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LCAL LAW <br /> OWNER OFT HIIS PROPERTY�TO PERIFORM LITHE WORKTING CNSTRCTION ORT FOR WHICH APPLICATIHE PERFRMANCE OF ON <br /> ISRMADE ANDHIQ COMPLYU WITH11THE STATE <br /> CONTRACTORS LAW 16.27 RCW AND 296.200 WAC. <br /> 1 <br /> V ltN_ � I <br /> ` d _ FEE <br /> ature Date <br />