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ELECTI�CAL PERMIT APF�ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERE�TT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> � <br /> � I �S c�!6y - Fo7�• �vn - <br /> PROJECT ADDRESS <br /> _ ���sr (3,�r�r�5�r i.�,.�,-� . i��� P�;f;� �<� � c�r �N - <br /> Owner Mail Address City State2fp Phone <br /> �TLoO rnY�1�w ,4n 0 570�(.k i2_ Yio,��Lv ;��I���i�:v , (�S��(I;.i Fi)7' 4JW . <br /> Tenanl ' Matl Address � <br /> C��Y Stale2ip Pbone <br /> �1o�"h �Ci�n�bl�(niiG ATiDNS . 1 '�C„30 �dRrni& ,qRL1�7oN u�A 48�3 <br /> Electncal Contractor Meil Address Ci1� -+ State2ip Phone <br /> �z5 zio982, <br /> Ra't��C �e� 49l e. � �3apo.rz� <br /> Stale Licensa Number Contract Price of Work <br /> MF �JiC.QL D!( /cC <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description ol Work to Be Done: 7�[e PhDiv p 4 DATA c�v 6Le �n� LDtv�nL7.aG r <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 BYTHIS OFFICE. <br /> NOTE: WIRING IN NON•DWELLINGS IS RE�UIRED 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 /> ENViRONMENT�4L AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EOUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUI'ES OF TRAVEL SHALL BE 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 /> 1 HEREBY �ER*I�Y THAT I NAVE FEAD AND EXAM/NED THIS APPLICATION AND KNOW tHE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISION: Cr LAWS AND OROlNANCES GOVEANIh'u THIS TYPE OF WORH WICL BE COMPLE7ED WHETHER SPECIFIED HERE/N OB <br /> NOT, THE GRAN!7NG OF A PEFMIT OOES NOT PAESU�NE TO GIVE AUTHORITV TO VIO(ATE OR CANCEL THE PROVlSIONS OF ANY OTHER <br /> STATE OF LOCAI LAW AEGULATING CONS'fRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY tHE <br /> OWNER OF TY.;5 PROPERTY TO PERFORM THE WOFK FOR WHICH APPLICATION !S MADE AND I COMPLY WITH THE STA7E <br /> CONTRACTORS LiW 18.27 RCW AND 296.200 WAC. <br /> ��•-��l C� f����0 / FEE <br /> Signalure Date �DI,a�73 <br /> ! <br /> ELECAP(REV 82001) <br />