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EL�CT� .ICAL P�RIIAIT AP� �IC�4TIOfV <br /> CITY OF EVERCTT PERMIT SERVICES <br /> � 3200 CEDAR S'fREET, EVEqETf, WA 98201 <br /> 425-257-88i0 - FAX 425-257•8857 <br /> '� '' / �l f'�i1-k i:= �'_ �� <br /> � • <br /> PROJECT ADDRESS �17• Z�Z -ti5 i'7 <br /> �ir-;�' L-/-' � ' TG�'c .4t'�' y "1-.' /�1� �T/Lr .�.�' s : ,tft;'.s�'�s?�T lrr-.'�i � <br /> Owner Mail Address Ciry StelelLip Phone <br /> Tenan� Mail Address City Stata2ip Phone <br /> /1/..i C ��s /.'-c+S� �'� ':../ �.0 s� � � T �'N�'�1C' ' ro tl4 ''L '�6 '-�LC 6iF� t"'4�.� <br /> Eledricai Contractor � tdail Address Ciry State2ip Phone <br /> r.�:-1'« �,./.. Z:,'r:t�-y — <br /> State Lir.enso NumGor Contract Price ol Work <br /> �: F' .C' <br /> Proposed Use ol Buii�ing Contact Person (Plan Review) <br /> Description ol Work to Be Done �, ;i� , ��— /.' �%.^r.��.S"-�= /C • �L. r �L <br /> NOTE: PLANS FOR ELECTRICAL WORK Al' EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MU�T BE <br /> APPROVED BY THE STATE OF WASHINGTC�N. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APFROVED PLANS BEFORE= CITV OF EVERETT PERMIT WILL BE ISSUED. WAC 29G-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE �'ACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REOUIRE�� TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILI7Y: ELECTRICAL AIVD COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> W ITHIN ACCESSIBLE SPACES OR ALONG ACCES:iIBLE ROUTES OF TRAVEL SHALL BE MOUN i ED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51•20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEI'TACLES AND OTHER OPERABLE EOUIPMFNT WITHIN <br /> ACCESSIDLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE FEACH <br /> RANGES OF WAC 51-20 SFC. 3106(b)4 E & F AND NOl LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEFEBY CER7fFY THAT I HAVE FE.4D AND EXAMINED THIS AF;°UL.:?�ON AND KNOW THE SAME TO BE TRUE AND COARECT ALL <br /> PROVISiONS OF LaWS AND ORDINANCES GOVERNING ThuS iYG'( OF WOPI( WILL BE COMPLETED WHETHEA SPEqFIED HEFEIN OR <br /> NOT. THE GRANTING OF A PEFM1�IT DOES NOT pRESUM1IE TO GIVE AVTHORITY TO VIOL4TE OR CANCEL TNE PROV1510NS OF ANV OTHEF <br /> STATE OR LOCAL U1W HEGULATING CONSTqUCTION OR THE Pl=iiFOFMANCE OF CONSTFUCTION. THAT 1 AM AUTHORIZED BY THE <br /> OWNER OF THI,S PROPEAiI' TO PEFFORM 7HE WOFH FOR NHICH APPLICATICN IS MADE AND I COMPLY WITH THE STA7E <br /> CONTqACTORS LAW 1827 RCW AND 29E200 WAC. <br /> i � <br /> [� - �r� L-L' : �� =- .:'�/'� �_ FEE <br /> Siynalure Deta <br /> ELECAP�REVB200q J L'7 �� C <br />