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ELEC�'�ICAL PERMIT APt"LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> Szo�- e��r .�r �✓A <br /> PROJECT ADDRESS <br /> �oSGn/ /�/n ,er�ie � /J'oI�LLL GA- -- <br /> Owne� Mail Address City State2lp Phone <br /> � 5 C oS u m� ,S2 o vG r 4iA E vr1�../�F w/1- � 820 <br /> Tenant Mail Address City StatePip Phone <br /> yzs <br /> r��_„ i � v. S L .�.,�rr D s8"oy�, 77L-TS k 3 S <br /> Electrica ontractor Mail Address Ciry Stare2ip Phone <br /> l� .i,� .vco FSSL 3 $ S. 13 0 �= <br /> State Lice se Number Contracl Pri o(Work <br /> ��, �f��z S-{�..� ��Lo�4 <br /> Proposed Us2�f Building Contact Person (Plan Revie <br /> i <br /> Description of Work to Be Done: %,vS�4 �G �y) �/ y � X �'9�S'�� S%a.✓ c�S:....�/5 � �I ) <br /> J <br /> �-l�z`' x /s'�" s,t„i c.rs,,.��" � <br /> NOTE: PLANS FOR ELECTAICAL WORK AT EDUCATIONAL, FACILITIES UTILIZING STATE FUNDS MUST BE <br /> APPROVED BY THE STATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST 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: W IRING IN NON-DWELLINGS IS RE4UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALO�G 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 O7HER CONTROL RECEPTACLES AND OTHER OPERABLE E�UIPMENT 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 36 INCHES ABOVE THE FLOOR. <br /> I HEREBY CEATIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND fCNOW THE SAME TO BE TAUE AND COqRECT. ALL <br /> PROVISIONS OF LAWS AND OFDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHER SPECIFIED HEFIEIN OR <br /> NOT, THE GRANTING OF A PERMIT DOEc NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL L4W REGUI�ITING CONSTRUCTION OR THE PEflFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND f COMPLY W1TH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> � ,j-/y-a L FEE <br /> Signature Date <br /> E�Z03 -p(aS <br /> ELECAP(REV 8/2001) <br />