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ELE' ;TRICAL PERMIT �.PPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> I425-257-8810 - FAX 425-257-8857 <br /> t1�C�� �(�PJr.�,!Zrl�<f� �i{�� <br /> P JECT ADDRESS /J <br /> �/�1 F'i�`'it/�U C.'D.UST�L�G�T/D� /�S/l-�/Q�ur'��.�7F� �VE��92.70R' <br /> Owne� Mail Address <br /> ��ry State/Zip Phone <br /> aSa�E� c�c..� �Q�.�u� S�zS...zs9�6� <br /> � Y State2ip Phone <br /> Tenant � Mail Address �{� <br /> � /i G��D .('o-'� �' �L.C.�/�.. _ D �C�'l� ��rJ Z. �(/ .�G.:.!! /t��a <br /> ElectriCal ConiraCtor Mail Address City State2lp Phone <br /> /�� - S <br /> S[ate License N mber Contract Pnce of Work <br /> !v �� <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Don�: /��,y�_,�, � ��� Q^ �Q �� <br /> � 9U-�-t'/JJe%-Q� �is�t-i2� J � <br /> 1 ('oP, # �O�t� <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUSI' SHOW THE STATE <br /> APPFOVED PLANS BEFOP.E 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 3YTHIS OFFICE. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO 8E IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSI�LE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE A10UNTED 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 F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> _� <br /> I HERE9Y CERTIFY THAT I HAVE AEAD AND EXAMINEO TH13 APPLICATION AND KNOW THE SAME TO BE TFIUE AND CORFECT. ALL <br /> PFOVISIONS OF LAWS AND CRGINANCES GOVEFN/NG THIS TYPE OF WORK WILL BE COMPLETED WN.ETHER SPECIFIED HEAEIN OR <br /> NOT, THE GRANTING OF A PERMI'!'DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OFI LOCAL LAW AEGULA7ING CONSTRUCT/ON OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PAOPERTY TO PERFORM THE WOR7C FOR WHICH APPLICATIOfJ IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18 CW AND 296.200 WAC. <br /> ��i <br /> �Z��O�Z FE� <br /> Signature Date ���O <br /> e�ecna�aevenoo>> � d.�fa-1a�7 <br />