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� ELEC�RICAL PERMIT A�DLICATION <br /> � , CITY OF EVER�TY PERMIT SERVICES <br /> I 3200 CEDAR STREET, EVERETT, WA 98201 <br /> I 425-257-8810 - FAX 425-257-8857 <br /> 13�y . t�e,.�;E ?� C3b3oz- oZ� <br /> 3011 ro�iw�,., �„��-� . WA qd'zoi `� . <br /> PROJECT ADUP.ESS �I r <br /> �`��,s�^;�� �.�+�i,rs }�•v RoX I o2co 4 �.,�, s L�l A 9 G�o� 3,, »z 1�31 <br /> Owner Mail Address Ciry Stata2l <br /> P Phone <br /> �� ,-�01I Bi�u.,�v+�-�, P_1r�re,�- W� °I62�I 3in-7�1 t�3� <br /> Tenant � Mail Adtliess Ciry State2i <br /> P Phone <br /> �rd '��� I�b3J '�0� Avt �• �y�Nwv� )/-j �1�'U3� 4�h 7�y 9099 <br /> Elecincal Contrector Mail Address Ciry State2i <br /> P Phone <br /> � L {-:� I � 5��' �(�000 'O�" <br /> State Licence Mumber Contrac Pnce of Work <br /> C"T.�,.,..r� :;t�L� �S S�ew Vad� 1 <br /> Proposed Use oi Building Contact Person (Plan Review) <br /> Description ol Work to Be Done: <br /> � l a� �.x r s-1-�a y S�-�}�p L; � ti,�, s �,�, ��� �v e�a �x �I <br /> 1--..�.rv�Z�.1R-1rS iN L-I,r��� G�� �C1�+� l � '�o-4-a�L �4-0�� 2 N�,vJ <br /> P lk o� L�rc.�a',-�� -C-cs� 1 1n N t'._�J Q lu� S <br /> J <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 GF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL 8E REVIEWED BY THIS OFFICE. <br /> NOTE: W IRING !N NON•DW ELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> W ITHIN ACCESSIB�E SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES AEUVE 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 TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E 8 F AND NGT LESS THAN 36 INCHES ABOVE THE FI.00R. <br /> I HEFE9Y CER7IFY 7HAT I NAVE FEAD AND EXAM/NED THIS APPLlCATION AND KNOW THE SAME 7'O 6E TFUE AND CORRECL ALL <br /> PFOVISIONS OF LAWS AND ORDINANCES GOVEFiN/NG THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEAEIN OR <br /> NOT, 7NE GRANTING OF A PEFMIT'DOES NOT PRESUME 70 GIVE AUTHOFITY TO VIOLATE OR CANCEL TFIE PROVISICNS OF ANY OTHER <br /> STA7E OR LCCAL L4W REGULATING CONSTFUC11pN OR THE PEFFORMANCE OF CONS7RUC710N. THAT I AM AUTHOFIZED BY THE <br /> OWNER OF THIS PROPEATI' TO PERFOFM THE WOFK FOR WHICH APPL/CATlON IS MADE AND I COMPLY WITH THE STATE <br /> CONrRACTOFS LAW J827 RCW AND 296.200 WAC. <br /> � 3�/� � � <br /> �-= v - � FEE � � 1 <br /> .i�Signature � Dete �� <br /> ELECAP(REV 62001) <br /> �03G.�i -c,_;..i <br />