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ELE� ,'nICAL PERMIT Ar PLICATION ' <br /> C�'TY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 96201 <br /> 425457-8810 - FAX 425-257-8857 <br /> � / ��� ����� <br /> PROJECT ADDRFSS <br /> � 1l �,� �1 \ 1 _ <br /> � ��rn �c�,S�� / 't� G.l L°CZL I T �W <br /> Owner Mail Adtlress Ciry Slate2ip Phone <br /> �Gir,p <br /> Tenan� � Mail Address City State2ip Phone <br /> ��. �,�ed�,�c� ��N��a� �yu � . .��� c�� ��zZ m,� i r,�� u�� ��ss <br /> ectnCal Conlractor Matl Address Cily State2ip '`,� Phone <br /> J�e�eSz��3Nr� -� � qgo�2 <br /> State License Number Cont ct Price of Work <br /> ti� ca rrQ s �c���ic�' �lc <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of W ork to Be Done: 6 � <br /> l 1 �+ � � � <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTI�IZING STAT[ 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•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 REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL APdO COMMUNICATIONS SYSTEM HECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIB�_E ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE F100R. WAC 51-20 SEC. 3106(c)2. <br /> ENVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE EQUIPMENT 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 INCHES ABOVE THE FLOOR. <br /> 1 HEFE9Y CERTlFY THAT f HAVE HEAD AND EXAM17INED THIS APPLICA710N AND HNOW THE SAM1iE TO f3E TRUE AND CORRECL ALL <br /> PFOVISlONS OF Li W5 A1JD ORDINANCES GOVEFNING TNIS Tl'PE OF WORK WIIL EE COMPLETED WHcTHER SPEC/FIEO HEREIN OR <br /> NOT. THE GFANTING OF A PEFMIT DOES NOJ PRESUME r0 GIVE AUTHOFITY TO VIOLATE OR CANCEL T1iE PROVISIONS OF ANY OTHER <br /> STA7E OF LOCAL L4W FEGULATIN�i CON57FUCTlON OA 7HE PEAFORMANCE OF CONSTFUCTION. THAT I AM AUTHORIZED BY THE <br /> CWNfA CF TNIS PFOPERTY TO PEFFOFM THE WOFK FOR WHICH APPLICA'flON !S MADE AND I COMPLY W/TH THE STATE <br /> CCNTFAC7CF5 LAW 7827 RCW ANO 2�G200 WAC. <br /> ��\ � FEE <br /> ���� J�,` � J' � 7 ��_ <br /> T <br /> �gnature Date <br /> =--::.�-��i a�z�o,i �Pz 1�—OZ$' <br />