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APPLICR ION FOR ELECTRICA4 PERMIT <br />CITY OF EVERETT <br />BUILDING DIVISION <br />8200 CEDAR STREET <br />EVERETT, WA 98201 41orr <br />(426) 257-8810 <br />PROJECT ADDRESS \ _ <br />�l 1� A t' C crn cA t ! staterzlp ' Phone?� <br />owner Mall Address city <br />Mall Address Cky Slate2lp Phone <br />Tenant yy <br />! 3/ <br />�� � �C'C{7� stale2lp rnone <br />Electrical Contractor Man Address Cm, <br />Oa I Sc-$ o; z ' <br />Contract Price of Work <br />Stale License Number <br />r1Contact Person (Plan Review) <br />Proposed Use of Building <br />Description of Work to Be Done: ¢✓ l/ If 4 Ac <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 BEFREIT WILL BE ISSUEDWA3 296-46-140. ALL <br />EDUCATIONAL ACILIIT ES AND ATLLOHEALTHRETT CARE FACPERILITIES TIES PLANS WILL BE REVIEWED BY THIS OFFICE. OTHER <br />NOTE: WIRING 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 <br />A LONG WAC ti ACCESSIBLE SEC 3 0RO TES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />OF INCHES ABOVE THE F OOR <br />ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br />ITHIN <br />RANGESI OF WAC 5E 20 EC. 3106( )4 E &�F AND NOT LESSMOUNTED <br />THAN 36 INCHESS ABOVE THE FtLTHE REACH <br />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 TYPE OF WORKTHE GRANTING OF A PERMITDOES NOT PRESUMEING TO GIVI E AUTHORITY TO V OILATE OR CANCELDTHE PROVISIONS OF ANYWHETHER SPECIFIEDEOTHER STAOTE <br />TOR LCAL LAEULATING CONSTRUCTIONHIS PROPERTYR TOG <br />OPERFORM THE WORK FORO <br />OWHICH APPLICCAT ON IS MADE AND I COMPLY WITH E STATE CONTRR THE PERFORANCE OF CONSTRUCTION. THAT I AM AUTHORIZEDAY THE OWNER <br />LAW 0 7 <br />RCW AND 296.200 WAC. <br />FEE <br />Signature UdW <br />EltC Rwm) <br />