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IP] <br />ELECt'RICAL PERMIT AKAICATION <br />0;1-7r CITY OF EVERETT PERM;T SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />42.5-257-8810 - FAX 425-257-8857 <br />(010-1 _D11 Yam' <br />PROJECT ADDRESS <br />S h ( IY,?rcyt <br />31ac WAv:;j <br />C)&'�O1 <br />-257 R58 <br />Owner <br />Malt Address city <br />State/Zip <br />Phone <br />CI G,(A I a Lot rc li-C6 <br />2M-i 14 C) r~ Rti e tj E Sv,k <br />n)_ z,.p (.t ,v_,A.e- �J,�-- QQ,� <br />� l -1 6 7 <br />Tenant <br />Mail Address City <br />Slalemp <br />Phone <br />(NIA Tti nic <br />1�6efd 14yJ Ai v_ tie ►,Jot <br />iftlle, Lt)q %-o 7x <br />42S 4$3-1f077 <br />Electrical Contractor <br />Mall Address City <br />Stateelzip <br />Phone <br />Iti1/970�r 6101➢U 1-i tj <br />�I (ioU. <br />State License Number <br />Contract Pride of Work <br />Ca', `, IC <br />MGL-6 IJP JG(P <br />J'zk- 0444 <br />Proposed Use of Building <br />Contact Person (Plan Review) <br />Description of Work to Be Done: <br />100 Q lbt P St rV I '2 ln) <br />( .3 U rho t) f m rlC 11 c I rctkt, <br />1 %0 avAp l40 d <br />CtrwU't` <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 REQUIRED TO BE IN RACEWAYS, MC OR AC CABI.E. <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 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 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORREC <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEF <br />NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT) AM AUTHORIZED <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />TL XI), <br />Signature <br />ELECAP(REV ak001) <br />- 03 <br />Date <br />Fu30q-05-P <br />FEE <br />