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, ELEG1r':ICAL PERMIT AP�'_ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> ��7�,c,�s'i N� �..1� <br /> PROJECT AD�RESS <br /> � �� � v+� � c� 0 5�7- �-s� ti� �, �l�- ���1 �r�s�3s,�e�r <br /> OWnBr Mell Add�eet Cly Slate2lp Ptwne <br /> �'! �'����� N ti s��Qt� �,�dU �-� ��f,U� �9�-Gl.lf� <br /> Tenent � Mail Add�ese Clty StetelZip Phone <br /> P�i N �YL �(t�cT i3�45 �'ro� ufl. (�.w �i� '�8 23Z _�6�o-'ls.�13c� <br /> Electhcal Contractor Meil Addresa Ciry &late2lp Phona <br /> (x�i IJ7�i 14�3..D� � 9c�r— <br /> Stete License Number Contract Pnce o Work <br /> ��� r.1 I�o I I..l� Iz-- <br /> Proposed Uae ol Building Conlact Peraon (Plen Review) <br /> Descrlption ol Work to Be Done: � /�J�� S L� O N� SL LI.� �� � ( �� 7 � <br /> � eR,o�i=T o u° 5 l. 1,11� �P-� ' C�)�1V S��S <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 OF EVERETT PERMIT WILL BE ISSUED. WAC 296•48-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS W4L BE REVIEWED BYTHIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED 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 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 EQII!pMENT WITHIN <br /> ACCESSIBLE SPACES OR ALOIJG 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 INCHES ABOVE THE FLOOR. <br /> 1 HEREHY CERTIFY THAT I HAVE FEAD AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TAUE AND CORRECT. ALL <br /> PROVISIOIJS OF UI WS AND OROINANCES GOVEFNING THIS TYPE OF WORK WILL 8E COMPLETED WHETNER SPECIFIED HEREIN OR <br /> NOT, 7HE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOUTE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGUUITING CONSTAUCflON OR THE PEAFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER CF THIS PFOPERTY TO PERFORM TNE WORK FOR WHICM APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTAACTORS L4W iB.27 RCW AND 29F.200 WAC. <br /> _!t" '� 2 —I 1� G � L' . FEE�L1�� <br /> 1 <br /> Slpnature Dale <br /> �c,aoA-06y <br /> ELECAP�REVd2C01) � <br />