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ELECT�. .ICAL PERMIT AP� �ICATION <br /> CITY OF EVEf�ETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> � �.� S C o[�'y ���..' <br /> PROJECT ADDRESS <br /> /fuc�,i Ner>�m- /�i� �%�� -9u= , w�- �a-�.� vas.2�g �sr/ <br /> Owner Mail Adtlress City State2ip Phone <br /> f�/,✓�� /�/� �$'ou��c� .��:JS co�9y �J7,���, c,v�,��-- i,��r S.P1fo� <br /> Tenant � MailAddress Gity State2io PhoneyZJ.. <br /> /,��4� J�/6�✓J'c��'Uic E ; /�2iZ f'�C7r`27l F?i�3''.�T7"fi�� , �1aiC C [/-t�� , r zA S�oiz 33��fiC o <br /> Elecirical Contractor Mail Address Ciry � � State2ip Phone <br /> ,O/�TSis � 99� ��i d �'G o��= <br /> State License Number Contract P ice of Work <br /> �c.=_�"1?'1 Z- �—���� <br /> Proposed Use ol Building Contact Person (Pian Aeview) <br /> DescriptionafWorkroBeDone: (/�I��"+(— oN� ,3 ��C� � �„/� s'cbn� <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING S7ATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF 1h'ASHINGTON. APPLICANTS WITH SUCH JOBS MU�T 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 REOUIRED TO BE IN RACEWAYS, h7C OR AC CABLE. <br /> HANDIC.4PPED 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 REACH <br /> RANGES CF WAC 51-20 SEC. 3106(b)4 E & F ANG NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> 1 HEFE9Y CERTlFY rHA7 f HAVE FEAO AND EXAM1IINED THIS APPUCA710N AND KNOW iHE SAM11E TO BE TFUE AND CORFECi. ALL <br /> PROV/SlONS OF LAbVS AND OFDINANCES GOVEFNING TH/S 7YFE OF WORK WILL BE COiviPLETED WHETHE,R SPECIFIED HEFElN OR <br /> NOT, THE GFANTING OF.4 PEFM/T DOES NOT PFESUME TO GIV2 AUTNCFITY TO V10L4 tE OR CANCEL TiiE PROVIS/ONS OF ANY OTHER <br /> 3TATE OR LOCAL LAW FEGUL4TING CONSTFUCTION OR THE F'EFFORMANCE OF CONSTAUCTION. TNAT/AM AUTHORI<'ED BY THE <br /> OWNER OF THlS PFOPERTY TO PEFFCFM THE WOFX FOR WH/CH APPLICAT70N !S MADE AND ! COMPLY WITH THE STATE <br /> CONTFACTOFS,I.�W 78.27 FCW AND 296.200 WAC. <br /> / <br /> '" :t�.� � 1 / �f � vI. FEE <br /> � <br /> Signature Date <br /> ELECAP�REV 8."1U11) e(�v-�.'{�6� <br />