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ELECT .ICAL PE�Mi� APF �ICATION <br /> ClTY OF EVERETT PERMIT SERVICES <br /> • 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> ���`) �/ � /`n/I�U/GL�/ _ <br /> PROJECT ADDRESS / <br /> �f;G( l.(lr'f� �o�li' SiI�G -- - <br /> Owner Mai Address City State2lp Phone <br /> Tenant Mail Address Ciry State2ip Pho e <br /> ��9 /, y� �p� / (s'� —�3j— <br /> _1���'¢4 l— T`Pr` la �l�( S!f 5 20/V/� /J-r��rn� I.r//� �'s'��13 S s(� <br /> Electrica Contr lor Mail ACdress Ciry State/Zip Phone <br /> ,—� d �` � ;_ �� ; T'�,��1'Kt� S's��-�» <br /> �— � <br /> Slate License Num6er Coniract Price of Work <br /> E �v�e�s r, S�t� �r�w <br /> Proposed se ot Building Cortacl Person (Plan Review) <br /> / c� r1 <br /> De�sc'1ription of Work to Be Done: L��'� (/Y)�p L"�l' � �c d� V/ C� � � L!/� l _ <br /> V 1 � �f' � 'C'�l:.c�' t l/LO � �[r S� 'l�t cb S��iYtO' <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 /> APPROVFD PLANS BEFORE CITY OF EVERETf 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 REOUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br />� <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOR. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONh1ENTAL AND"OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCtSSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED W ITHIN THE REACH <br /> (iANGES OF WAC 51-20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> 1 HEREBY CERTIFY THAT 1 HAVE FEAD ANO :XAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND COFAECT. ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVEFNING TNIS TYPE OF WORK WILL HE COMPLETED WHETHER SPECIFIED NEFEIN OR <br /> NOT, THE GFANTING CF A PEFMIT DOES NOT PRESUME TO GIVE AUTHOFITY TO VIOLATE OF CANCEL TH�PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL L11W REGULATING CONSTFUCTION OR TNE PERFOFMANCE OF CONSTFUCTlON. TH.4T I AM AUTHOFIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORhf THE WORK FOR WHfCH APPLICATION IS MADE AND I COMPLY WITH TNE STATE <br /> CC7NTRACTORS U1W 1827 RCW AND 296.200 WAC. <br /> i <br /> oV� � ��yiU� FEE <br /> Signature Data <br /> ELECAP�REV&2001) I ID � `��� <br />