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ELEC4 RlCAL PERMIT Af �LICATION <br /> CITY O� E\�ERETT PERMIT SERVlCES <br /> 320Q CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8�310 - FAX 425-257-8857 I <br /> /� �� lr�CJ��I(��� .. CXv,v�,e <br /> �.�0/ �oLi� G,�,��.c ; � � �c/ �.�c�t <br /> PROJECT ApDRESS ✓ �GU • ��= ���- <br /> _jIIC•To/'�%1 f✓c1% �n �i�Y S� /-lA�i�t.+lY"r�,�1 �.l).4 l����3 <br /> Qw08f Meil Address <br /> City StatelZip Phone <br /> �fLI!['� 7�7!1�- (`5��/i'E� <br /> Tenant ' Mail Aadress City . StatelZip Phone <br /> ���,� l?l �' f`/F:-T2iG �� �nx .�.2�7 � lin��Y��� I.!)d �i'�Ja�-3 l:.Si.:4,c3s� <br /> Electrical Contracto[ � Mail Address City S�ata2ip Phone <br /> .C-LiT[-.CC_=' � ..,7.�� `�./q; �'� oC <br /> Slate License Number � Contract Pnce of Work <br /> /•• .L <br /> Proposed Use of Building Contact Per�on (Plan Review) <br /> Description ol Work to Ee Done: _ [/��j"!� �� — �(/�.ry�,/J ������j� �l�Q /.i�S <br /> u •� � ��_ � 02 .� IC� .E.�L1 �S'T721�6 . � �72� Fi.Q.f. /�l/��'i�— <br /> � �n <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING 5TATE FUNDS MUoT BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BEFORE CITY UF EVERETT PERMIT WILL BE ISSUED. WAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BYTHIS OFFICE. <br /> NOTE: WIFING IN NON•DWELLINGS IS REQUIRED 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 REACH <br /> RANGES OF WAC 51-20 SEC. 3706(b)4 E & F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> ! HEREBY CER7IFY THAT! HAVE READ AND EXAMWED TNIS APPLICAT(ON AND XNOW THE SAME TO BE TRUE AND CORRECL AL� <br /> PROVISIONS OF LAWS AND ORD/NANCES GOVERNING THIS 7YPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEREIN OF <br /> NOT, THE GRANrlNG OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO V101ATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL L4W REGULATING CONSTFUCTION OR THE PERFOFMANCE OF CONSTRUCT(ON. THAT I AM AUTHORIZED BY TNE <br /> OLNNER OF THIS PROPERTY TO PERFORh4 THE WORK FOR WMICH APPLICATlON IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTOflS LAW 1b.27 FCW AND 296.200 WAC. I <br /> �' �C, •,O + � : ' ,,S_ ID '�C� FEE <br /> Signature Date <br /> EIECAP�REV812001) p�. C+5t;5-P,� <br />