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r <br /> r <br /> ELECTRICAL PERMI� APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 I <br /> 425-257-8810 - FAX 425-257-8857 <br /> '.' �:- <br /> I i i �. � . <br /> a�I 5 �r��ac�lu.xx�_ - �F�' S�m <br /> PROJECT ADDRESS 425-b�7 " <br /> �a�� � �_�a-v - ia„ � a4�+^� Aw� N�� Re.li�v�� �,��� �8��_ aayU <br /> Owner Mail AdOress City Slale/Zip Phone <br /> l(2S • 2�L, ' <br /> �.����. I-ll� l��L�u.�n..,..� �,v�xe , i�-�RaO l �$5� <br /> Tenent Mail Address Cily Slate2ip Phone <br /> ZC�CD S7� <br /> �,FZ Ln 3 o T.v� u ��t_ �� - ,�?LLt:bQ.�� �„�l'F ��l � �' a[� <br /> EledricalContrecto� MailAddrese Cily Slale/2ip Phone <br /> �,�,yC:�;��3q0 MC_ „ ,Oc� <br /> Slate License Number Conlrad rice of Work <br /> �V�¢..r �J�c�"�1�� <br /> Proposed Use of Building Contact Person (Plan Rr.view) <br /> Description of Work to Be Done: �v w vC� I-yt�OR ��t V <br /> 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 TI�E 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 CAB�E. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG .4CCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51�20 SEC. 3106(c)2. <br /> ENVIRONMENTA� AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBL[ ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SGC. 3106(b)4 E 8 F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> 1 HEREBY CERTIFY THA7'I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO DE TRUE AND CORRC-CL ALL <br /> PROVISIONS OF LA WS AND C.4DINANCES GOVERN/NG THIS TYPE OF WORK WILL BE COMPLETEO WHFTHER SPECIFlED HEREIN OR NOT, <br /> THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTf10RlTY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE <br /> OR LOCAL LAW REGULATING CONSTRUCTION OR THE PEFFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHOR2ED BY THE OWNER OF <br /> THI S PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION I S M11ADE AND 1 COMPLY WITH THE STATE CONTRAL'TORS LAW 1 fl 27 <br /> RCW AND 20G.200 WAC. <br /> %�rZtLt'L-. , _� ,� .fL-� '��" �1 I�S`� FEex2� iJ� <br /> _.J <br /> Signature Date <br /> EIECAP(REVBf1001) <br /> j , // <br /> � L - �l z- `.>�<� 3`1 ��('�a-�- �{�y Fs � 3`� � �_� �, ; <br />