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ELECT .ICAL PERMIT AP �ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STFiEET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> _1�1� /�r�!'P,-sc� !�l�'� BL,) a� �a„ <br /> PROJrCT ADDRESS <br /> Owne� Mell Add�ess Ciry S4t✓Zip prypi� <br /> C��u ��� t,����ef1 8�Z /?KK�1r�� dl� E✓Piefi� t,�l,;, , <br /> `f�' Zi'/ �7�57 <br /> Tenant Mall Addresa Clty StetelZip php�p <br /> EleCldcal Contuctor Mell Addrees Clry &tet�/Zlp p�o <br /> State Licenae Number Contrect Price of Work <br /> CTreen �1ou5L <br /> Proposed Use of Building Contact Peroon (Plan Review) <br /> Description of Work to Be Done: �ns t�i�� (,(� q,�,p !2plZyp �/ �f Sen[[e 3 / <br /> � (� /'tnch <br /> i i.^- d. ��5 �10;` ��n��} rtin< C M✓Nh rntP ��OTS <br /> i <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 BEFORE 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: WIRING IN NON-DWELLINGS IS REOUIRED 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 OPERABLE EOUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACN <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 I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LALyS AND ORDINANCES GOVERNINQ THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECfFIED HEREIN OR <br /> NOT. 7HE GR.7NTING OF A PEFMIT DOES NOT PRESUME TO GIVE AUTNORITY TO VIOUTE OR CANCEL THE PROVISIONS OFANY OTHER <br /> STA 7E OR LOCAL LiW REGUL4TING CONSTRUCTION OR THE PERFORMANCE OF CONSTliUCTlON. THAT I AM AUTHORIZED BY TNE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICAT/ON IS MADE ANO I COMPLY WITH TNE STATE <br /> CONTRACTORS LAW 18.27 RCW ANO 296.200 WqC, <br /> � i - <br /> . / <br /> ..7"'�« Y,l�.�--L iv-io-�l FEE �� _ <br /> Siqnalure Dete <br /> ELECAP�REV fi�2001) �^ �D-�S 7 <br />