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ELECTPC CAL PERMIT APF`�IGATIQN <br /> CITY OF EVERETT PERMIT SFRVICES <br /> �' 3200 CEDAR S7R�ET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> ,��v2 1 �I/c JZ C) 2 t F,+/ �.�1 /4 � <br /> PROJECT ADDRESS <br /> Ownef Mail Address Ciry Slate2ip Phone <br /> E(�tJ�2r� �ON�S �NV�Sim�n/�.f _ <br /> Tenanl � Mail Address Cily Slate2ip Phone ., <br /> D R lDo i,vC, E�E��r2 �c i 5�, 3� ,r/- D�Nv�ns2� LI�Nlul,�Od� G�A- ,��io�� <br /> Eleclrical Conttactor Mail Address City State2(p Phone <br /> �21Dv��o6 /�37 s oo . uv <br /> State License Number Contract Price of Work <br /> Comrti �RG� �z Dr�'�cC> �l�rc� � u.��v� rz ,r�����4 <br /> Proposed Use of Bui�ding Contact Person (Plan Review) <br /> Description ot Work to Be Oone: l.�C( �ti ( � / �'-� ���C'¢� EO e��C Gt ((f !�-n/� <br /> �� � �U ..FI-o �E��/�T�-�c E I'�i2 0 i�=�c£ <br /> NOTE: PLANS FOR ELECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> HPPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. �NAC 296-46-140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS WILL BE REVIEWED BYTHIS OFFICE. <br /> NOTE: W IRING IN NON-DW ELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPP�G ACCESSIBI�ITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE AOUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCFIES ABOVE THE FLOOR. WAC 51-20 SEC.3106(c)2. <br /> ENVIRON��AENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE E'�UIPMENT WITHI� <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL 5.HALL BE MOUNTED W ITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E & F AND NOT LESS THAN 36 IN::HES ABOVE THE FLOOR. <br /> I HEAEBY CEATIFY THAT I HAVE FEAD AN� EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TflUE AND CORRECT. ALL <br /> PROVISIONS OF 1�1 WS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETEc WHETHER SPECIFIED HEREIfJ OR <br /> NOT, THE GRANTING OF A PERMIT OOES NOT PAESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OF LOCAL IAW REGULATING CONSTRUCTION OR THE PEFFORMANCE OF CONSTRUCTION. THA7 I AM AUTHORIZEU BY THE <br /> OWNER OF THIS PROPEATY TO PERFORM THE WORK FOR WH/CH APPLICATION IS MADE AND I COMPLY WITH TN.E STATE <br /> CONTRACTORS!t1 W 1827 RCW ANO 296.200 WAC. <br /> �CG l�'��'a�l��— FEE <br /> S gn lure Date C��(-O�,v <br /> ELECAP(REV 812001) � <br />