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ELEC�iICAL PERMIT AR''LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> ZS17 Co� B y� ��� <br /> PROJECT ADDRESS <br /> co.+�,c. �o�H�. �A,��- t8r� c���3 r E�<<.f� <br /> Owner Mail Address Ciry SWte2ip Phone I� <br /> (GAS-�si� COwr.ti �3Ar�c. Z�17 Cd�/3 Y �V[r.-� <br /> Tenant � Mail Address City SWte2ip Y7S_ Phone <br /> �;-� cv i?� /3< SzCs C ,,, u<<� �,.F -r-x�aYt 77`-85�Ss� <br /> Electricz. .ontractor MailAddresa Cf Slate2lp Phone <br /> /.�Gi'/.. n/ CO gSL3 .S /vo. �" <br /> Stale Licen Number Contract Price of Work <br /> l3�s..i�. S7c� ��c o�( <br /> Proposed Use of 8uilding Contacl Person (Plan Re w) <br /> DescriptionofWorkloBeDone: iwS�I�tc. (/1 Se-'� O� ,�A.v c<i�,s..L L�/�r-5 0�, <br /> ,/ i <br /> /'tdC l w.� 7 �II 5ir✓ C/S�✓}' I,�F�. Sy...c _l�C t/CCS�i: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 SHCW THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46•14G. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEAL"fH CARE FACILITIES PLANS W ILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: W IRING IN NON•DW ELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> W ITHIN 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 /> ENVIP.ONMENTAL AND OTHER CONTROL FiECEPTAi.LES 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 HEFE6Y CERTIFY THAT 1 HAVE FEAD AND EXAMlNED THIS APPLICATlON AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LA WS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SFECIFIED HERElN OR <br /> NOT. THE GRANrING OF A PERMIT UOES NOT PRESUME TO GIVE AUTNORITY TO VIOL4TE OR CANCEI THE PROVISIONS OF ANY OTHER <br /> STA7E OR LOCAL LAW REGULATING CONSTRUCT/ON OR THE PEFFORMANCE OF CONSTFUCTION. THAT I AM AUTHORIZED DY THE <br /> OWNER OF THIS PFOPERTY TO PERFOFM THE WORK FOR WH/CH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CON7RACTOAS L4W 18.27 ACW AiVD 296.200 WAC. � <br /> M� �� <br /> C���� <br /> , � <br /> FEE <br /> Signature ate <br /> ELECAP(REV 82001) <br />