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I <br /> ELEC �ICAL PERMIT APF �ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> '�33 2 C�� 1 b., <br /> P�p JECT ADDRESS <br /> < '� �mr_,��R�3� �� 4-� 4 33�a N�I �-, . �� =v,�•��1 6J��Pt�� a�, iz�i <br /> Owner Mail Address Ciry SlateRip Phone <br /> g ��� <br /> Tenanl Mail Address Ciry Stale2ip Phone <br /> Su �-. f <br /> Electrical Conlractor Mail Atldress Ciry Siate2ip Phono <br /> �=' �U .�. e ; 1�' � ouu <br /> State License NumCer Contract Price al Work <br /> C� � �„ _ �i, � � �_,��425-4�33 �4g <br /> Proposed Use ot Building Contact Person (Plan Review) <br /> ,`� � �� <br /> Description of W ork to Be Done: !� 7�� C 5\ ti O r. � � � o � -� �L�J y ca � F U.- <br /> NOTE: PLANS FOR ELECTRICAI WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH J08S MUST SHOW THE STATE <br /> �PPROVED PLANS 6EFORE CITY OF EVEFETT PERMIT WILL BE ISSUED. WAC 296•46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEAITH CARE FACILITIES PLANS WILL BE REVIEWED BY THIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO BF IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON �VALLS <br /> W ITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TAAVEL 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 OF WAC 51-20 SEC. 3106(b)4 E& F AND NOT LESS THAN 361NCHES ABOVE THE FLOOR. <br /> 1 HEFEBY CEF7IFY THAT 1 HAVE READ AND EX.4MINED THIS APPLICATION AND HNOW THE SAh1E TO BE TRUE AND COFRECT. ALL <br /> PFOVISIONS OF LAtNS AND ORDfNANCES GOVERNING THIS TYPE OF WOFK WILL BE COMPLETED WHE7HEF SPECIFlED HEFE/N OR <br /> NOT, THE GRANTING OF A PEFh11T DOES NOT PRESUAfE TO GVE AUTHOFITY TO VlOLATE OR CANCEL THE PROVISIONS OF ANY OtHER <br /> STA7E OR LOCAL LAW FEGULATING CONSTRUCTION OR THE PEFFOFMANCE OF CONSTRUCTlON. THAT 1 AM AUTHOFIZED BY THE <br /> OWNER OF THIS PFOPERTY TO PEFFOFM THE WOFK FOR WHlCH APPLlCATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTOFS LAW 1827 FC4V AND::96.200 WAC. <br /> ) �c�/ � - o.�-� <br /> � /� � / <br /> � � \ //j� �G /Z r9C FEE // <br /> � � - ��� � I <br /> �' Date <br /> ignature <br /> ( <br /> ELECAP�REV&2001) <br />� <br />