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ELEC�RICAL PERMIT A�C �LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> �200 CEDAR STREEI', EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> /�po �o.rvu/rty �jF�[C!�' <br /> PROJECT ADDRESS <br /> dfi�� NGr/�9.Eit/ S�A�� ' As f�a1/� (2v��3?l"3_ 8/G6 <br /> Owner Mail Address , Ciry Slate2ip phone <br /> /�iF� n��v9�/ <br /> Tenant � t.7all Address Ciry StatelZip Phone <br /> Yu ,-�-�'sS0�bP3f- - ' . . " _ <br /> , <br /> Electrical Contractor Mail Address City S�ete/Zip Phone ' <br /> Ta'l�'Z frr.lnv �d'o-o •"' <br /> State License Number Contract Pnce of Work <br /> R,�s r��M/r titEun�OA- NbvJ<�✓ <br /> Propased Use of Building Contact Person (Plan Review) <br /> Descration af Work to Be Done: <br /> .T/✓d'T�J-GL �AtivN��vlr G�� G/G�--i-7iv(r- <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 UF 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 OFFIC�. <br /> NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTE5 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 E�UIPMENT WITHIN <br /> P�CESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 310�(b)4 E 8 F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. I <br /> I NEREBY CER77FY THAT 1 NAVE REAO AND EXAMINED 7NIS APPLICATION AND KNOLY THE SAME TO BE TRUE AND CORRECT. ALL I <br /> PROVISIONS OF L4WS AND OROINANCES GOVERNlNG THIS TYPE OF WOAK WILI. BE COMPLETED WHETHER SPEGFIED HEREIN OF � <br /> NOT, 7NE GRANTING OF A PEfiMfT DOES NOT PRESUME TD GIVE AUTHORITY TO bIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER '' <br /> STATE CR LOCAL WW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORI7ED BY TNE I <br /> OWNER OF TH/5 PFOPEATY TO PERFORM THE WOAK FOR WHICH APPLICATION /S MADE AND I COMPLY WITH THE STATE � <br /> CON7RACTORS LAW 78.27 FCW AND 296.200 WAC. i <br /> � �� I <br /> � <br /> I /�� � /,7 p FEE � <br /> Signature —� Oate ' <br /> ELECAP�REVB2001) �o3a3-13� <br />