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ELECT iICAI� P�RMIT AP' LICATION � <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> UTUZc;�lC ".3:3gZ„ <br /> 1� ���K'c�ani L'FN �1�.� �.�'�-,�;�._'�TT a�20 � �,i�-q 4 6��c <br /> PROJECT ADDRESS <br /> �R1D(-����v�»Pn��n�- ii��� n�r�nlcHcs-r� 2� s-r��� 5 m�1 �13I <br /> Owner Mail Address City Stato2ip Phonc <br /> i�t�,o2o�J� ��-3 �. r2anr-rsT ���N���13�? ��� �7o� �r5R7i�1 <br /> Tenant - btail Address City State2ip Phono <br /> LU��i D0� EI�ZT�IL; I I�li- �531 !PAIN�A4�� !=_�'��T-r �JY�qUz� � d23"311��3 <br /> Eleclrical Contracior Mail Address City State2ip Phone <br /> co��c���i��—i a�o�:�-� <br /> State License Number Contract Price ot Work <br /> .C J'YI YY��'C 111(� �-�%Tl�-I C� _��E.V� �h 11i/�lU <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Dane: �(���� .-}��%l� 5G r-T �T�;�N-�- I�►f'1 1lN�m�.� <br /> '��Q �l11�' ��12diC� — ONt 7—�-� /�I'1'1� (�AtiEI� `� ��6�0 I OC? AI)'IP �AN "L`� <br /> �'CRMIT 7G II�ICI�t�E (..���11'0�'f�C��. iJ��i� ;f7. <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICr�NTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETi PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAI. FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE RFVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC JR AC CF,BLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATION`i SYSTEM F,ECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TFiAVEL SHALL BE MOUDJTED 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 "fRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E & F AND NOT LESS 7HAN 36 INCHES ABOVE THE FLOOR. <br /> 1 HEFEBY CERTIFY THAT I HAVE READ AND EXAAIINED 7H/S AFPLICAi70N AND KNOW THE SAME TO BE TFUE AND COFFECL ALL <br /> PFOVISIONS OF L71N5 AND ORDINANCES GOVERNING rHIS TYPE CF 'NOFK LM19LL BE COMPLETED WHETHER SPECfF�ED HEREIN OF <br /> �JOL THE GFANTING OF A PFFMIT DOES N07 PRESUh1E 70 GIVc AU7HJRITY TO VIOLATE OA CANCEL THE PROVIS(ONS OF ANY OTtiEn' <br /> S7ATE OR LGCAL L7W FEGUL7TING CONSTFUCTION OR THE PEFFGFMANCE OF CONSTFUCTION. THAT 1 AM AUrHOFlZED BY THE <br /> OW,VEF OF THIS PFOPERTY r0 PEFFORM1I THE WOFK FOR WHICH APPLICATION IS MADE AND I COMPLY N'ITH THE STAiE <br /> CONTFAC70FS LAW 18.27 RCW Ah'D 296.200 WAC. <br /> ��l�C-'� ����JJi'4�� ��Z��D� FEE <br /> Signature Date <br /> ELECAP(FEV 8r2C01) C.y �"��( /� [,O <br /> i�� C.J`j <br />