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( � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8657 <br /> 3332 �oa2 Srt-eE�r <br /> PROJECT ADDRESS <br /> (�r,.STareL�o.r��wr,m� 333z �25T EJG{:.EiT WA N25-3�'!-�b(o <br /> Owner Meil Addrase Clty SIa1N2ip Phone <br /> Tenanl Me1lAddress Clry Stale2lp PMne <br /> AaousouSc-Zuw,^� l.2uuP PO.gol 191•55 �Ep.Tr� (Nq 95109 2eb-�Sy-3553 <br /> Eleclrical Contraclor Mell AAtlrene ciry s�a�amp anone <br /> ARoi�ssc �i 3c �, �5�(,, <br /> Slate License Number Contred Prlce of Wo�C <br /> Proposed Use of Bullding Contect Person (Plen Raview) <br /> Description of Work lo Be Done: ,��T�l,l_, �J � ��p �'�(Z �J �ILLAI�JC� rJY`�JT��� <br /> NOTE: PLANS FC�R 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 296-06-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BE IN RACEWAYS,MC OR AC CABLE. <br /> HANDICAPPED ACCESSIF3ILITY: ELEC"RICAL AND COMMUNICATIONS SYSTEM RECEPTACIES ON WALLS <br /> WI7HIN 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(r,)2. <br /> ENVIRONMEN7AL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACC[SSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b}�1 E 8 F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I IIEREBV CERTIFY THAT 1 HAVE REAO ANO EXAMINED 7HI5 APPL/CATION AND KNOW 7HE SAME i0 BE TRUE AND CORRECi. ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED W I fETHEH SPECIFIED HEFEIN OR NOT, <br /> THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOU7E OR CANCEL 7HE PROVISIONS OF ANY OiHER STA 7E <br /> OR LOCAL LAW REGULATING CONSTRUCTION OR 7HE PERFORMANCE OF CONSTRUCTION. THA T I AM AUTHORIIEO BY THE OWNER OF <br /> THIS PROPERTY TO PERFORM THF. WORK FOR WHl�rl APPLICATION IS MADE AND/COMPLY WITH THE STATE CONTR/1CTORS U W 7817 <br /> RCW AND 296 200 WAC. <br /> l. 1 _ <br /> �' �U -Ol� FEE <br />� Sig�ature Dale <br /> ELECAP�REV d�2001) / <br /> � �-�- � yc <br />