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ELEC RICAL PERMIT A PLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-6810 - FAX 425-257-8857 <br /> �r� � .. <br /> L/+�� nJt, ' �4'�/'��''t-� <br /> ,�o�r E!n-r Ga:��n.,�c, n�v , SU�T�� �� „ <br /> PROJECT ADDRESS � / <br /> �H �E� li=�rL'� _ 4Z5 �cu �,u7 AJE /.� StEZ�j ,�eAT�6 WAJ in� �2u�)Z ; -330�� <br /> Owne� Mell Addresa Ciry Stete2lp Phone <br /> Tenent - Mail AdCress Ciry Stete2lp Phone <br /> 1�:� �E� ���C.ECY��L 13�NS h�LTbiL �n �u.7 U.;'�� , 32 3[:0 �5�•/3or� <br /> Electrical Contractor Mail Add�ess City Stati2ip Phone <br /> �c��ti: Tc �/�F�>7l. _�(� �,�ri'7 � [�C7 <br /> Slate License Number Contract Price of Work <br /> �.rlfit_�� ��•c�+�' <br /> Praposad Use of Building Contact Person (Plan Review) <br /> Descnptlon of Work ro Ba Done: IEn:Aru T .1rnr�'r.'�..J�rri�-=�T �}>� t� �L��/�` c� �h'� <br /> VIU���- � <br /> ! �7 L.IC.�Ni ri1��u �'-�'`� 1�•i��� '��I� ,�ll�nJ � .`�fbNC�..7�, <br /> j-�.�I � ����C��iJ L�.J� ��;�C,� �J �1'�.'� <br /> NOTE: FLANS FOR ELECTRICAL WORK ,iT 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 BEFOFE 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 REQUIFED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HAiJDICAPPED ACCESSIBILITY: ELECTRICA� 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 /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMEN'' 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 & F AND NOT LESS THAN 36 !NCHES ABOVE THE FLOOR. <br /> I HEREBY CERTIFY 74AT I HAVE READ AND EXAMINED THIS APPLICATION AND HNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PFOVISIONS OF L4WS AND ORDINANCES GOVEANING THIS TYPE OF WORK WILL 9E COMPLETEO WHETHER SPECIFIED HEREIN OR <br /> NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PqOVISIONS OFANY OTHEF <br /> STATE OR LOCAL L:7W REGL'LATING CONS7RUCTION OR 7HE PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY TNE <br /> CWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICM APPLICATIUN IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br /> l, � <br /> l� l,�'-` .� I�� ��Z FEE ��C <br /> Sipnalure De�e <br /> ELECAP�REVB'200t� �— ZLI,S^/IV <br />