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ELECT: ICAL PERNIIT AP��_ICATION <br /> CITY OF EVERETT PE�RMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> 3 �2 5 �2o-a,�9y <br /> PROJECTADDRESS <br /> c.�J�r��/ic G_c��..0 �o,�ox 5�`.�9 fvE.�sv �✓� y�zo c 8�rr).ri.� i�ci <br /> Owner Maii Address , City Slate2ip Phone <br /> Tenant � Mail Address Ciry Stete2ip Phone i <br /> �NlrE'O f���u� � 6.3a/ So .2'��Q✓F �dEaEii ln/ 98,Co� 5�[6zr,� �gi� <br /> Electncal Contracror Mad Address Ciry State2lp Phone <br /> ��?ffr/�Gh'G <br /> State License Number Contract Pnce of Work <br /> TEr�,� �-,ev�eF <br /> Proposed Usa of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: �F/9/ et-��L�/iG Lc <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. P.PPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPFOVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILIT!ES AND ALL HEAL7H CARE'"ACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: W IRING IN NON-DWELLINGS IS REQUIRED TO 8E IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WA!LS <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 /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EOUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED W ITHIN THE REACH <br /> RANGES OF WAC 51•20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREBY CERT/FV THAT I HAVE READ AND EXAMINED 7'Y�I/S APPL/CATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> NOT,VTN/E GRANTING OF A PEFiM/T D0E5 NOT PqESUME T0/GIVE AU�THORI�TY T011OLATE ORPCAN EL�THE PROVISS/ONS OFAN�OTHER <br /> STATE OR LOCAL L4W REGULATING CONSTRUCTION OR .THE PEFFORMANCE OF CONSTRUCTION. THAT I AM AUTHURIZED BY THE <br /> OWNEF OF TH/S PROPERTY TO PEAFORM THE WOFK FOR WHICH APPLICAT/ON IS MADE AND ; COMPLY WITH THE S7ATE <br /> CONrRACTOFS L4W 18.27 RCW AND 296200 WAC. <br /> �/ <br /> �-�- ._.., � S�z �o� FEE <br /> Signalure ' Date <br /> ELECAP(REV 8/2001) �(y�G�]-03� <br />