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APPLICATION FOR ELECTRICAL PERMIT <br />CITY OF EVERETT <br />BUILDING D/VISION <br />3200 CEDAR STREET / <br />EVERETT, WA 98201 (; o wJ <br />(a26-) 257-8810 <br />,/ i 5 'i2�:" 7, <br />PROJECT ADDRESS <br />/A..,...., ir.. J .. 1�/N - NZh `7 S £ 'rvLrRf 7� If 9L-7C4 fs3 917'/ <br />r]wne, Mail Address city State/Zip Phone <br />Tenant <br />O1, Nf C;ra1'- <br />Mail Address <br />5,;�: r`7</�L, <br />City State/Zip <br />�,�= l:vF�yC r/ wASA• �1�7<i .?1.3-927it/ <br />Phone <br />Electrical Contractor <br />Mail Address <br />City State,Zlp <br />Phone <br />State Llcen•,e Number <br />Contract Price of Work <br />- <br />(7AIF/19/., <br />%(✓/!/1[/N/fRL <br />/ <br />lPIoklk <br />Proposed Use of Building <br />% <br />Contact Person (Plan Review) <br />Description of Work to Be Done: <br />�� :I? h <br />e If d dQO.Q nDE&& Qom` ((116 7t Lid f:t � -�(T <br />�� ,f <br />F ,a w['/.FR .UI11c� <br />1pt 1-R -04 <br />�oll Ws{: /hREOd✓blt <br />/ <br />s�Is <br />a• Y <br />�i �� <br />/tfo Vt= r'I'll yt u" / htlithAl0i rkilrl <br />yfld a,4.1 A4.• <br />SA.,, 4jS pr7 <br />0?I � <br />ln//5, <br />1r .A/.' ..l hnxr:< <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: 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 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(r,)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 />1 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 NOT, <br />THE GRANTING 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 CONSTRUCTION. Ti4AT I AM AUTHORIZED BY THE OWNER OF <br />THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE CONTRACTORS LAW 16.27 <br />RCW AND 296.200 WAC. <br />Signature <br />el[C. a[V ewe <br />Date <br />FEE <br />