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ELECI�. �ICAL PERMIT AP� LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> �{1� Y:�c�zr..eE,u I,-,h�t <br /> PROJECT ADDRESS <br /> Gv+k.<<`t Pw,� GK�re�[s <br /> Owner Mail Address City State2ip Phone <br /> CJFL � �52 '�`t1`t Eurrct.. �zpr1., INaY E�e;tcrf wh 48203 <br /> Tenant � Mail Address City State2lp Phone <br /> /1�r4�trti �r-�cf�. INL. �.p. 3c.. 3k�"t L�tc�Y lrh . 0.$>oK -'i4o1 (3mo�A13-(o�o—I <br /> Electrical Contr2ctor fiAail Address City State2lp Phone <br /> AL�4CLvv�LZrDyS�� � �lOU•OO <br /> Stale License Number Contracl Price o(Work <br /> Proposed Usa of Building Contact Person (Plan Review) <br /> DescriptionofWorkloBeDone: 2CI,oG✓�r6 Exisnn,[.� F��� I'F��K�^. {�t�M1NUJ{L �U�� SCN`lor� �2� <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS M1UST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PIANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-740. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL 2E 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 /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER QPERABLE E�UIPMENT WITHIN <br /> RANGESI OF WAC 5E 20 S C�N06(b)4CE & Fi AND N�OT LESS THAN 36 I CHES ABO E THE�LOOR IN THE REACli <br /> 1 HEREBY CERTIFY THAT I HAVP READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORfiECT. ALL <br /> PROVISIONS OF LA WS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OR <br /> NOT, THE GRANTING OF A PEAMIT OOES NOT PRESUME TO GIVE AUTHOFITY TO VIOLATE OR CANCEL THE PROVlSIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGUL4TING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT!AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPEFTY TO PERFORM THE WORf( FOR WHICH APPLICATION IS MADE AND I COMPLY WIT'rl THE STATE <br /> CONTRACTORS LAW 78.27 RCW AND 296.200 WAC. <br /> � ��� 12JIp /0f FEE <br /> Signa ure Date �O�� 2-0IJ <br /> ELECAP(flEV 8r2001) <br />