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JUL-Z1-2004 1�:24 FROM: <br />TQ:14252578857 P.2 <br />ELECTRICAL PERMIT APPLICATI�N <br />CITY OF EVERETT PERNiIT SERVICES <br />3200 CEDAR STREET, EVERET7, WA 98201 <br />425-257-8810 - FAX 425-257-8857 <br />2- l I S Cp o�''�` S'� S� �s-- <br />PROJECT ADDRESS �j��Z�� <br />�C r-i !' £�-���fZl�r Z 1 ! �' � � S�S�� �/�r� �1� -rl'��C�3 <br />Owner Maif Address Ciiy StatelZlp Phone <br />��. <br />Tenant <br />Mail Address Ciiy <br />y � �`�o�d5f <br />Electrical Contra tor ail Address <br />r��!-S� �csq� �o � <br />State License Number <br />5�12 <br />Proposed Use of Buifding <br />State2fp Phona <br />GtJ�c Q�� 2r, fp 2.�. �i <br />State2ip <br />C� Sa � �-' <br />Contract Price of Work <br />Phone <br />�����7�r�r �1.� <br />Contact Person (Plan Rsview) <br />�z.S� 7 �0 3 �•° <br />Description of Work to Be Done: <br />l� D��n� 1��rc�r � ZD r�pJ' 2�G i/ �r �`i5�i��� <br />NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES iJT1LIZING STATE FUNDS MUST BE <br />APPROVED BY THE STATE OF WASHINGTON. APPLICANTS W1TH SUCH JOBS MUST SNOW THE STA7E <br />APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br />EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILI7IES PI.ANS WILL BE REVIEWED BY THIS OFFICE. <br />NOTE: WlRING IN NON-DWELLJNGS 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 ROEJTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br />OF 15 INCHES ABOVE THE FLOOft. WAC 51-20 SEC. 3106{c)2. <br />ENVIRONMENTAL AND OTHER CONTRO� RECEPTACLES AND OTME� UPERABLE EQUIPMENT WITHIN <br />ACCESSIBLE SPACES OR ALONG ACCESSkBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACN <br />RANGES OF WAC 51-20 SEC. 3106(b}4 E& F AND NOT LESB THAN 36 INCHES e��OVE THE FLOOR. <br />. . <br />1 HEREBY CERTIFY THAT 1 HAVE ftEAD AND EXRMINED THlS APPLICATION AND KNOW TNE SAME TO BE TRUE AND CORRECT. ALL <br />PROV1SlONS OF LAWS AND OROINANCES GOVERNlNG THIS TYPE OF WORK WfLL 6E COMPLETED WNETHER SPEClFlED HEREIN OR <br />NOT, THE GRANTING OFA PERMlT DOES NOi PRESUME TO GIVE AUTHORlTY TQ VlOLATE OR CANCEL THE AAOVISl�NS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATlNG CONSTRUCTlON OR THE PERFORMANCE OF CONSTRUCTION. THAT / AM AUTHORlZED BY THE <br />OWNER OF THIS PROPEATY TO PERFORM TNE WORK FOR WH1CH APPUCATlON /S MADE AND 1 COMPLY WlTH THE STATE <br />CO/VTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />Signature uate <br />DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />FEE <br />