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ELECT''�CAL PERMIT APt'L,ICATION <br /> CtTY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETi, WA 98201 <br /> 425-257-8810 • FAX 425-257-8857 <br /> 1831 l�r��t��! �l�U � �4uc-r� <br /> PROdECT AODRESS <br /> _ UTiL/T/ �1«i o �' G,J�� <br /> Owner Meil Adtlress <br /> City StatelZip Pbona <br /> A r�`r r�eo,��,�o <br /> Tenant � Mail Ad]ress <br /> Ciry StatelZip Phone <br /> �,�[Li�l E s�E�� . po �30� ,��3 G,o�c c� �vA 9�a�y y�r) ���• y/ <br /> Electncal Contractor Mail Address C�ry Slete2lp ' Phone <br /> �i�J/L�sE•�ss r,� '`�Ssd <br /> 5tate Vicense Number <br /> Contrect Price of Work <br /> �'cr-,,e Sd�iW �•Fi R -�B�ArrNa r�� .G�2�✓ �/�i1u�1 Y�s) 5��a ao�. <br /> Proposed Use of Bwldmg <br /> Contact Person (Plan Review) <br /> Description of Work to Be Done: �Q /}Jy��R U�LL FDiQ C <br /> ,4B�f .4�r�1i�r/j � <br /> P�S�eT o/� /a-i'`i G�Lo,g�dA+�d L�L!� G,� /� ' <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WqSHINGTON. 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 REQUIRE�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 EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE HEACH <br /> RANGES OF WAC 51-20 SEC.3106(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> I HEAEBY CER7/FY THAT I HAVf READ AND EXAMINED THIS AFPL/CAPON AND XNOW 7}iE SAME TO BE TRUE ANO CORRECT. ALL <br /> PAOV/SfONS OF LAWS AND ORD/NANCES GOVERNING THIS TYPE OF WORK W!L!. BE COMPLETED WHETHER SPECIF/ED HEAEIN OR <br /> N07, �HE GRANrING OF A PERMIT DOES NOT PFESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV OTHER - <br /> STATE OR LOCAL LAW REGUL4T/NG CONSTFUCTION OR TNE PERFORhIANCE OF CONSTFUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNEF OF TFfIS PROPERTY TO PERFORM THE INORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITFI 7HE STATE <br /> CON7AACTORS LqW 18.27 RCW AND 296.200 WAC. <br /> ' /� J ��� FEE <br /> Signature <br /> Oate <br /> ELECAP(REV 82pp1) <br /> ��-053 <br />