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FEB-19-03 4'�D 10;15 AM f� -�ETT PERM1'f SERVICES FAX N0, 4^� 257 8957 P, 02 <br /> � ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CE�AR STREET, EVERETT,WA 98201 <br /> 425-257-EA10 • FAX 425-257•8857 <br /> � Z23 � �`vac�wu y <br /> aRo1�'e`c�r aonaess <br /> We', ss 1223 i3v-oa�u%�4 <br /> Owner Ma8 Addreu City Slala7Jp Phone <br /> Tenant Ma1 Address Gy StaterGp Phone <br /> f�Gu�'�i '=�PGFr� �'rJ�l. x23Z N.w. N�qayd,>rS,".#r' � Se4rrle �✓� 98107 2C6�7�'y��S�U <br /> Electrical Conlractor Msl Addruss Ciry State/Lip phcre <br /> (�OWi� �'s ozh PZ ,, <br /> State License Number / � ll' ConL-act Pnce a1 Work <br /> � '� <br /> �RNC <br /> Prcposed Use of Buildin� Contact Person (Plan Review) <br /> pescription of Work 10 Be Done: ��iT� C� ) 3Ur� 24oJ C i Y Ni T 7-0�- /�"/ G (�� �5R i2�°� <br /> L'�✓� Cu�� i � SfA�I SPRc� �- rec���12 t}- C�n ,1��� � i ) G��� <br /> �vv�r� q�e. <br /> �,OTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILI7IES UTILIZING STATE FUNDS MUST BE <br /> PPPROVEO BY 7HE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATH <br /> PPPROVED PLANS BEFORE CITY OF EVERkTf PE9MIT WILL 6E ISSUED. WAG 296-46•140. ALL OTHER <br /> EDUCA710NAL FACILITIES AND AI.L HEALTH CAFE FAQI�ITIES PU1NS WILL B�REVIEWED BY THIS OFFICE. <br /> NOl'E: WIRING IN NON-DWELLINGS IS fiEOUIR�D 70 UE IN flACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: EL.EC7RICAL AND COMMUNICATI�NS SYSTEM pECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIeLE ROUTES OF TRAVEL SHALL B� MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51•2��SEC.3106(c)2. <br /> E��/1RONMENTAL AND`bTHER CON7ROL RECEP'iACLES AND OTH6R OPERABLH EQUIPMENT WITHIN <br /> ACCE5SIBLE SPACES OR ALONG ACCESSIBLE ROUTES QF TRAVEL SHALL BE MOUNTED WI7HIN THE REACH <br /> RANGES CF WAC 51•20 SEC. 3106(b)4 E&F AND NOT LESS THAN 36 INCHES A90V�THE FLOOR. <br /> I fIERE•9Y CE�9TIFY TIi.4T 7 HAVE READ AND EXAMINED THIS ACFLICA770A AND XNOW THE SAME TO BE TAUE AND COARECL ALL <br /> PfiOVISICNS C�(AWS ANO OROINANCES GOVEAMWG 7NIS TYPE OF WCRK WlLL BE COMPLETeO WHETHEFi SPEJIFIEO NEREIN OR <br /> NOT, THE GRANT7Nli Or A FcRM1T OOES NOT PFESUME TO GIVE AUTHCfiITY TO VIOLATE OR CAMCEL THE PROVISiONS OFANY OTHEA <br /> STATB OR LOCAL LAW REGUL171VG CONSTRUCTION OR THB PERi-CfiMAMCE OF GONSTRUC7ION. THAT I AM AURi0A1ZE�6Y 7HB <br /> OWNLR OF TNlS PFOPEHTY 70 PERFOflM TNE WOFK FGA WHICN �IPFLICATION IS A1AOE ANO 1 COMPLY WITN THE STATE <br /> CONiRl�CTORS LAp/18.27 RCW AND 296R00 WAC. <br /> � • . <br /> �!�1,LL�1 ���' 7— I�I .C k FEE <br /> SipneNre Oale <br /> fLC�SF�f7EV34c4t; ' „�QC�.O�"�"� <br /> t <br />