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ELECT�'ICAL PERMIT AP� �ICATION <br /> CITY OF �VERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br />� 27 0� e�gY A �� I y�� ��2 <br /> PROJEyCT A�DRESS <br /> r�T�-C�i-�j l-- Q�t�..�S't'F�-T� c`�. A/VIE f�S 'P��'�S��T' <br /> Owner Mail Address 1 <br /> C�N SWte2ip hone <br /> (���=�.� i Lc� t.._'-�Nc_y - `�/ � <br /> Tenant ' Mail Address City State2ip Phone <br /> � � � <br /> Electrical Cont�actor Meil Adtlress City StatelLip- Phone <br /> �J�7C�� <br /> State License Number Contrect Pnce ot Work <br /> C7�F1 C � <br /> Proposed Use of Building Conlact Person (Plan Review) <br /> Description of Work to Be Done: y�� � --. L IC7}+T S l � 1 Tc' � ,�'� � <br /> � 1 S_'n�1 c-t- ��'T�=rS���C,.�-�-T <br /> NOTE: PLANS FOR EL[CTRICAL WOflK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW l'HE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL 8E ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BYTHIS OFFICE. <br /> NOTE: WIRING IN NON•DWELLINGS IS REUUIRED 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. I <br /> ENVIRONMENTAL AND OTHER CONTFOL RECEPTACLES AND OTHER OP[RABLE 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 />} I HEFEBY CERTlFY THAT I HAVE FEAD ANU EXAMINED THIS APPLICAT/ON AND KNOW THE SAME TO BE TqUE AND CORAECL ALL <br /> PAOVISIONS OF LAWS AND OFDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLETEA WHETHER SFECIFIED HEAEIN OR <br /> � NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOL4TE OR CANCEL THE PROVISIONS OF Ah'Y OTHER <br /> 1;� STATE OR LOCAL LAW FEGUL4T/NG CONSTRUCT/ON OR TNE PERFORb1ANCE OF CONSTFUCTION. THqT!AM AUTHORIZED BY THE <br /> -� OWNER OF THIS PROPERTI' TO PERFORM THE WORK fOR WHICH APPLICATION IS MADE AND I COMP:Y WITH THE STATE <br /> CONTRACTORS LAW 78.27 FCW AND 296.200 WAC. <br /> C <br /> �, �r � <br /> Ij <br /> �� -...ti.,�� �j ��/�Z- FEE <br /> 0 <br /> Signature Dele <br /> ELECAP(REV 8/2001� Fdz,O SrO�{.$� <br /> I <br />