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ELECT� .ICAL PERMIT AP1= `ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 <br /> S�Z / EVEl2�2��1 WA`�1 <br /> PROJECT ADDRESS <br /> RcsE�I Pizo�-n.irEs �/Eyz i�' s%• �"e2tcvu�' . Hr�4 � .f yzs) `�sy-b�S <br /> � <br /> OWnef Meil Address City State2ip Phone <br /> Fc^0 I'1�'YILI o�,l S3Z/ L''V��/L�n1 W� t"1%_ ��' W/k' 9fZ��� <br /> TenanS Mail Address City State2ip Phone <br /> �•3P% S/�;✓ ,S'�'Y'U�L-c� /1�ic� c2ec7c , �✓/.�- 9�'a/z. ( 4'LSI3�� -b"/6 � <br /> ElectriCal ContraClOr Mail Address Ciry Stata2ip Phone <br /> .00 <br /> 5'/s'i S�T,� 99oP�'t 4/, °oo <br /> Slate License Number Contract Price of Wcrk <br /> �Q���-ny�,��� s��` f�z�-N►L <br /> Proposed Use ot Building Contact Person (Plan Review) <br /> �escription of Work to Be Done: i�J a2�— ��✓� S�y6LE �i�rt� ��L ✓M�✓.q-rt'� S/L�✓ �i✓1J <br /> i�w,e �/� Tv �x/rri.✓c, �w�n a�/ Fsrrc�� <br /> NOTE: PLANS FOR ELECTRICAL WURK 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 WlLL BE REVIEWED BY THIS OFFICE. <br /> NOTE: UJIRING IN NON-DWELLINGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDI:.APPED ACCESSIBILITY: ELECTRICAL AND CC�'+�dAUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> W ITHIN ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVETHE FLOOR. WAC 51-20 SEC. 31('6(c)2. <br /> ENVIROIiMENTAL AND OTHER CONTROL RECtPTACLES AND !�THER OPERABLE EQUIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE ROUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE HEACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E& F AND NOT LESS THAN 36 INCHES ABOVE THE FLOOR. <br /> 1 HEREBY CERTIFY THAT 1 HAVE REAO AND EXAMINED THIS APPLICATICN AND KNOK' THE SAME TO BE TAUE AND CORRECT. ALL <br /> PROVISfONS OF LA WS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WHETHEF SPECIFIED HEFEIN OR <br /> NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTNER <br /> STATE OR LOCAL LAW REGULATING CONSTAUCTION OR THE PERFOAMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br /> OWNEF OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE ANO 1 COMPLY WITH THE STATE <br /> CONTRACTOAS LAW 78.27 RCW AND 296.200 WAC. <br /> �,- /��/O�a/ FEE <br /> Signature Date <br /> ELECAP�REV BI2001� E �l(G ��.3 q <br />