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ELEG"RICAL PERMIT A�'PLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-25'I-8810 - FAX 425-257-8857 <br /> �1���l�3/��w�-Y� ���2r�w��, W�- 9 �� <br /> PROJECT ADDRESS <br /> .c� �c��v�N r f, ,��z�,�y ���r7 r,,��- 9�1�' G�5-2sz -�Q,s, <br /> Owner Mail Adtlress � <br /> ��h Slate2ip Pho�e <br /> /y FG����,�/ �T���1 N t� �1,� ��n ��- �yaza/ y�s-�s� -��s�i <br /> J <br /> Tenant � Mail Address Ciry Slate/Zip Phone <br /> �J1�UT�L. _R_t/iiTU�/ �?, F�G — �11�� �17 I�qf �/l/o� J� �2� .�4D—�'`�'! ��J�9 <br /> ElectnCal COniraCtor Mail Address City Slete/Zip Phone <br /> P�iu �� ��ra �r� .�aoo. a� <br /> Slate License Number Contract Pnce of Work <br /> �"ct�N v . .� ro� � Y�i nl ,���U7� <br /> Proposed Use of Bwlding Contact Person (Plan Review) <br /> Description of Work to Be Done: ��,�c.� �'jy'��/�� �-�(,(,��������"��`� rF 3���(� <br /> 2f' <br /> To ✓� 9G u r�t��� CrnJ.t�/�J�S � �lic a2 ca � ,.,�--i �-C�PI�c�'_ <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 /> LDUCATIONAL FACILITI�S AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON•D�:IELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILI'i Y: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> W ITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBIE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOP, WAC 51-20 SEC.3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE E�UIPMENT WITHIN <br /> ACCESSIBLE SPACES CR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E 8 F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> l HERE9Y CEATlfY THAT 1 HAVE READ ANG EXAMINED THIS APPUCAT/ON AND KNOW THE SAME TO BE TqUE AND CORRECT. ALL <br /> PROVISIONS OF LiWS AND ORDlNANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIfD HEREIN OR <br /> NOT, THE GRANTING OF A PEFMIT OOES NOT PRESUME TO GlVE AUTHORlTY TO VIOLiTE OR CANCEL THE PROVISIONS OFANY OTHER <br /> STATE OR LOCAL G1W REGUGiTING CONSTRUCTION OR THE PEFFORMANCE OF CONSTRUCTION. TFIqT I AM AUTHORIZED BY THE <br /> OWNER OF 'fHIS PFOPERTY TO PERFOHM THE WOFK FOR WHlCH APPLlCATlON IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 782i RCW AND 296.200 WAC. <br /> �r�� - o��' <br /> _ ��—�Ot7� _ FEE <br /> SignaNre Date <br /> ELECAP�REV 8I2C01) <br />