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ELEC��ICAL PERMIT AP"'LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT', WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> ��,�1:i. C�v� �`/ <br /> PROJECT ADDRESS /� <br /> �_��.1, f � u�C �l�l('7 �7 �i C'fx��/ �UL'(�L� <br /> Owner Mail Atldress Ciry State2ip Phone <br /> Tenant Mail Atltlress Ciry State2lp Phone <br /> rlcil�S� ��7�2iG / NC. <br /> ElectriCal Coniractor Mail Address City Slate2ip Phone <br /> State License Number Contract Price o(Work <br /> Proposed Use of 8uilding Contact Person (Pian Review) <br /> Description ol Work to Be Done: �� /��'1�t� �`-GL B f—C.-y+ /� d � !t'�G �'YJQ <br /> I�J� Nf G (t � n�' c <br /> NOTE: PLANS FOR ELECTRICAL 4VORK 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•46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE AEVIEWED BYTHIS OFFICE. <br /> NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSI8ILITY: EIECTRICAL 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 CONTHOL RECEPTAi,L[S AND OTHER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE RUUTFS OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 31 O6(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEREHY CERTIFY THAT I HAVE READ AND EXAMINEO THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORFECT. ALL <br /> PROV/SlONS OF(AWS ANO ORDINANCES GOVEFNING 7NIS TYPE OF WORK WILL BE COMPLETED WHETHER SPEClFIED HEAEIN OA <br /> NOT, THE GRANTING OF A f ERMIT DOES NOT PRESUIvIE TO GIVE AUTNORITY TO V/OLAtE OR CANCEL THE PROVISIONS OF ANV OTHER <br /> STATE OR LOCAL LAW FEGULATING CONSTFUCTION OR TNE PEFFOFMANCE OF CONSTFUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROFERTY TO PERFORM rHE WOFK FOR WHiCH APPL/CAT70N IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAW 78.D RCW AND 296200 WAC. <br /> // <br /> i <br /> / , <br /> �/�{�� y � _ ,/\ ��} , I�.,Dv FEE��ll� <br /> �� ti'�/ �_ c� <br /> Signature Date <br /> ELECAP�REV fl/2001) <br /> �aav� -03�' <br /> i <br />