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� ELEC ICAL PERMIT AP �ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> 9G� /°,�,�,e�9�F S�F�c �,B,�y,v <br /> PROJECT ADDRESS// p <br /> �i�,i�nc.i� h'�.9�- yL?�/�cisrc.�`/v� Lc..E�'ii �� �'1f�/ �`�`1s).tf�-7i1� <br /> OwnBr Mail Address Ciry State2ip Phone <br /> E✓ER6•i �,c.�,✓i� 3 Yo/ �o rr.�ve Ev<.•c i w� 95Xa/C�t.-�is7-ir�.� <br /> Tenant Mail Adtlress Ciry Statelrp Pnone <br /> �[I/iEO�.ecT.vc�o�LAciev� J!',.�'YSo ��iS�re LYf��N/.�- �Y��t7 ��1�I�R.Jx'7fV/ <br /> Electrical CoMractor Mail Adaress Ciry � State2ip Pho�e <br /> G1N/TFtG/?G�G �i C f� — <br /> State License Number Contract Price of Work <br /> ,�.OfF',rE �-E�.r�i ,�rs <br /> Proposed Use of Building Contact Person (Plen Review) <br /> Description of Work to Be Done: / �-d.¢�1 y/L+r�Crs6Nf ��✓ f�sO�s �G1�?� <br /> /y I✓D �OG7�e� �.6 S <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 BE�ORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-740. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH 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 /> HA�'JICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WI'TNIN 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 OPERABLE E�UIFMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITrIIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOCA. <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO 8E 'FiUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND OFiDINANCES GOVERNING THIS TYPE OF WOFK WILL BE COMPLETED WHF?HER SPECIFIED HEflFIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PFESUME TO GIVE AUTHORITY TO VIOUTE OR CAN�EL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL WW REGUL4TING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THlS PROPERTY TO PERFORM THE WORK FOR WHICH APPLlCATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAW iB.27 RCW AND 296.200 WAC. <br /> ���a-�3 <br /> � <br /> / �—/I�,O.L FEE I� `I �% � <br /> Signature Deta <br /> ELECAP�REV 82001� <br />