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ELEC '�iICAL P�RMIT AP� �ICATION <br /> CITY OF EVERETT PERMIT SERVICES=, , �;r,z��� D <br /> 3200 CEDAR STREET, EVERFTT, WA 98201 I �r < ��� <br /> 425-257-8810 - FAX 425-257-8857 ',I �' R 2 0 2004 <br /> �3Z� v . CITY OF EVERETT <br /> Fv�l-C..`�/Z-2��""� W 1 _ r.�,�diec�in0!PuhlicServ�r.r.s <br /> PROJECT ADDRESS <br /> �7 r��s'C �il�'�-U�tF� 5 l l c- f'�f�� ✓� S S <br /> Owner Mail Address Clty State,4ip Phone <br /> � �= ���'�[� <br /> Tenanl Mail ddress City State2ip Phone <br /> '(��� ,��2T 2`t�� c�� f�r��� ��t-. S . 5�= v�A �� i 34 <br /> Eleclric8l Conl�aclo� Mail Address City State2i Phone <br /> --� C'� AbZI 1�n1 N � I�� � <br /> Slate License Number Contract Price of Work <br /> S}�A4-Y-� C�I��� <br /> Proposed Use of 8uilding Contact Person (Plan Review) <br /> Description oi Work lo Be Done: INS(.4--�-L o�-�c- 1� � ^ 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 BEFOFiE 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: WIRlNG IN NON•DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> 'JVITHIN 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 /> i 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 & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREBY CERTIFY THAT 1 HAVE READ AND EXAh11NE0 THIS APPLICAT/ON AND KNOW THE SAME TO BE TRUE AND CORRECL ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TY'PE OF 4YORK WILL BE COMFLETED WHETHEA SPECIF/ED HEREIN OR <br /> NOT, THE GRANTING OF A PERMIT OOES NOT PRESUh1E TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PAOVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGU�TING CONSTRUCTION OR THE PEFFORMANCE OF CONSTFUCTION. THAT 1 AM AUTHORIZEO 6Y THE <br /> OWNEq OF THIS PFOPERTY TO PERFOFM1I THE 6VOFK FOR WHICH APPLICAT/ON IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTOAS LAV✓7827 RCW ANO 296.200 WAC. � <br /> %/ � �� �,'z2 _ �✓4 FEE <br /> i �Signatu e Date <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED �d4�J3-!4� <br />